COMANCHE COUNTY HEALTHCARE CORPORATION (NPI# 1871513804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871513804 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE CORPORATION |
| Other Organization Name | MEMORIAL MEDICAL GROUP HOSPITALISTS |
| Practice Address |
3401 W Gore Blvd Lawton OK 73505-6332 |
| Mailing Address |
Po Box 785 Lawton OK 73502 |
| Practice Telephone | 5805107037 |
| Practice Fax Number | 5805107038 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | BRENT SMITH (CFO) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 18134 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Memorial Medical Group Hospitalists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604376 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd Ste G1, Lawton, OK 73505-6308 | 2020-03-13 |
| 1326558180 | Comanche County Healthcare Corporation | Psychiatry & Neurology | 3201 W Gore Blvd Ste 300, Lawton, OK 73505-6350 | 2017-10-06 |
| 1306863287 | Comanche County Healthcare Corporation | Obstetrics & Gynecology | 102 Nw 31st St, Lawton, OK 73505 | 2006-07-16 |
| 1255871497 | Comanche County Healthcare Corporation | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2017-03-07 |
| 1114466455 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd, Suite 203, Lawton, OK 73505-6378 | 2017-02-20 |
| 1609315308 | Comanche County Healthcare Corporation | Otolaryngology | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2017-02-15 |
| 1134586563 | Comanche County Healthcare Corporation | Internal Medicine | 6401 Sw Lee Blvd, Lawton, OK 73505-9678 | 2016-01-15 |
| 1548648579 | Comanche County Healthcare Corporation | Podiatrist | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505-6100 | 2015-05-11 |
| 1164800348 | Comanche County Healthcare Corporation | Internal Medicine | 4202 Sw Lee Blvd, Bldg A Ste 104, Lawton, OK 73505-8300 | 2015-05-08 |
| 1891195590 | Comanche County Healthcare Corporation | Nurse Practitioner | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505-6016 | 2014-08-29 |
| Street Address |
3401 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735777 | Kathleen Marie Feeley | Nurse Anesthetist, Certified Registered | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2005-07-27 |
| 1437768280 | Jordan Nixon | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-28 |
| 1275151953 | Tiffany Fletcher Legako | Speech-Language Pathologist | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-07-09 |
| 1669094371 | Jacob Aaron Fuller | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-15 |
| 1679195614 | Kennan Dale Richards | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-13 |
| 1730701251 | Shelby Madolyn Willis | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-07 |
| 1902427404 | Christopher Raul Fernandez | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-06 |
| 1790305456 | Ethan Jernigan | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
| 1144840802 | Lyndi Fisher | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-23 |
| 1629607320 | Jordan Renee Price | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309346 | Latha Nachimuthu Md Pllc | Hospitalist | 1145 W I 240 Service Rd Ste F, Oklahoma City, OK 73139-2171 | 2019-11-05 |
| 1780194225 | Western Hospitalist Pllc | Hospitalist | 2808 Lamond Hill Ave, Edmond, OK 73034-6978 | 2017-10-11 |
| 1023548948 | Divine Prosperity LLC | Hospitalist | 1104 E State Highway 152 Unit 1, Mustang, OK 73064-5116 | 2017-06-13 |
| 1225575525 | Absolute Best Care Pllc | Hospitalist | 2133 E 2nd St Apt 37071920, Edmond, OK 73034-6362 | 2017-01-24 |
| 1497123046 | Gracehealth, Pllc | Hospitalist | 18213 Bodegon Rd, Edmond, OK 73012-5905 | 2015-09-11 |
| 1588042287 | Nitin Sawheny, M.d., P.l.l.c | Hospitalist | 2074 Bella Sera Dr, Edmond, OK 73034-2525 | 2015-05-13 |
| 1225438849 | Muhammad Omar | Hospitalist | 800 Stanton L Young Blvd Ste 8400, Oklahoma City, OK 73104-5018 | 2014-09-02 |
| 1063838639 | Charles Lloyd Wilson | Hospitalist | Mercy South, 5200 E I-240 Service Road, Oklahoma City, OK 73135 | 2014-03-06 |
| 1326477167 | Nyame LLC | Hospitalist | 2625 W Sierra Springs Dr, Edmond, OK 73012-9072 | 2013-11-02 |
| 1306278593 | Rebecca Faulkner Md Pllc | Hospitalist | 15804 Sonador Dr, Edmond, OK 73013-5819 | 2013-07-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.