SOUTHWESTERN RADIOLOGY AFFILIATES, LLC (NPI# 1881909604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881909604 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN RADIOLOGY AFFILIATES, LLC |
| Practice Address |
5602 Sw Lee Blvd Lawton OK 73505-9635 |
| Practice Telephone | 5805314704 |
| Mailing Telephone | 5805314704 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | DAN SLIPKOVICH (CEO) |
| Authorized Official Telephone | 5805314704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SOUTHWESTERN RADIOLOGY AFFILIATES, LLC | 501 Corporate Centre Dr Ste 200, Franklin, TN 37067 |
| Street Address |
5602 SW LEE BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044603 | Dennis Dodd | Nurse Anesthetist, Certified Registered | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2005-06-22 |
| 1629531900 | Malaya Reyna Deemer | Nurse Practitioner | 5602 Sw Lee Blvd, Lawton, OK 73505-9699 | 2019-04-12 |
| 1295213106 | Kylie Danielle Starnes | Nurse Practitioner | 5602 Sw Lee Blvd, Lawton, OK 73505-9699 | 2018-08-02 |
| 1669963575 | Catherine H Phipps | Physician Assistant | 5602 Sw Lee Blvd, Lawton, OK 73505-9699 | 2018-05-25 |
| 1558730952 | Deanna Harmon | Registered Nurse | 5602 Sw Lee Blvd, Lawton, OK 73505-9699 | 2015-09-16 |
| 1538472899 | Chad Reid | Family Medicine | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2010-07-15 |
| 1770728412 | Lawton Ems Services, Inc. | Emergency Medicine | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2008-12-10 |
| 1013169531 | Southwestern Surgical Affiliates, LLC | Orthopaedic Surgery | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2008-10-15 |
| 1912186651 | Abdallah M Hussein | Family Medicine | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2007-10-30 |
| 1518003656 | Lawton Emergency Group LLC | Physician Assistant | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2007-01-29 |
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| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205084258 | Raindancer LLC Dba Doctors Mri | Radiology | 5366 Nw Cache Rd Ste 4, Lawton, OK 73505-3335 | 2008-09-03 |
| 1689616948 | Sooner Radiology Inc | Radiology | 5112 W Gore Blvd, Suite 3, Lawton, OK 73505-6034 | 2006-06-12 |
| 1326095001 | Comanche County Healthcare | Radiology | 3401 W Gore, Lawton, OK 73505 | 2006-05-28 |
| 1215900857 | Carl Leroy Dobson | Radiology | 3401 W. Gore Blvd., Lawton, OK 73505-6332 | 2006-02-13 |
| 1588664288 | Howard Dale Harper | Radiology | 5112 W. Gore Blvd, Suite 3, Lawton, OK 73505-2843 | 2005-07-26 |
| 1285637017 | Southwest Imaging Center Inc | Radiology | 5116 W Gore Blvd, Ste 1, Lawton, OK 73505-5909 | 2005-05-24 |
| 1194996447 | Comanche County Hospital Authority Southwest Radiology | Radiology | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2008-03-14 |
| 1649233818 | Kelly E Jones | Radiology | 3401 W Gore Blvd, Lawton, OK 73505 | 2006-04-10 |
| 1669443412 | Frank R Hayden | Radiology | 3401 W Gore Blvd, Lawton, OK 73505 | 2006-01-30 |
| 1164418463 | Kevin K Murray | Radiology | 3401 W Gore Blvd, Lawton, OK 73505 | 2005-09-22 |
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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.