COMANCHE COUNTY HEALTHCARE CORPORATION (NPI# 1982025250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982025250 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE CORPORATION |
| Other Organization Name | GOODYEAR FAMILY MEDICAL CENTER |
| Practice Address |
901 Sw Goodyear Blvd Lawton OK 73505-9755 |
| Mailing Address |
Po Box 785 Lawton OK 73502-0785 |
| Practice Telephone | 5805315878 |
| Practice Fax Number | 5805315779 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | MR. DAVID BLACKMON (CFO) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Goodyear Family Medical Center | 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 |
901 SW GOODYEAR BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528079985 | Kurt R. Scroggins | Internal Medicine | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2006-08-11 |
| 1649627688 | Payton Thomas Flournoy | Family Medicine | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2016-05-19 |
| 1952790750 | Marlene Michelle Edior-garcia | Registered Nurse | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2015-01-15 |
| 1962791780 | Concentra Health Care, P.a. | Clinic/Center | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2011-04-01 |
| 1164721577 | Maxor National Pharmacy Services LLC | Pharmacy | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2011-03-24 |
| 1922139161 | Mallory B Davis | Pharmacist | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2007-03-08 |
| 1811023120 | Deborah Jean Southern | Pharmacist | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2007-02-23 |
| 1356416960 | Walter Ray Dunlap | Optometrist | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2006-11-21 |
| 1598830200 | Leonard Sims Mcneil | Physician Assistant | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2006-11-21 |
| 1952476566 | Larry Kenneth Silkey | Optometrist | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2006-11-21 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| 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 |
| 1578008827 | Acellerated Interventional Orthopedics | Family Medicine | 5370 Nw Cache Rd Ste 4, Lawton, OK 73505-3371 | 2016-12-22 |
| 1760838445 | Samms LLC | Family Medicine | 1222 Nw Cache Rd, Lawton, OK 73507-4036 | 2016-05-11 |
| 1164804837 | Xpress Wellness LLC | Family Medicine | 6744 Nw Cashe Road, Lawton, OK 73505 | 2015-06-18 |
| 1225416720 | Anson Lukose | Family Medicine | 5606 Sw Lee Blvd Ste 304, Lawton, OK 73505-9618 | 2015-05-15 |
| 1275911885 | Ilona Yurfeld | Family Medicine | 3201 W Gore Blvd Ste 301, Lawton, OK 73505 | 2015-05-14 |
| 1467765941 | Mayank Dave Mdpc | Family Medicine | 5606 Sw Lee Blvd Ste 202, Lawton, OK 73505-9689 | 2010-07-26 |
| 1972631067 | Daryl E. Birdwell, M.d., Inc. | Family Medicine | 4417 W Gore Blvd Ste 2, Lawton, OK 73505-5978 | 2007-03-01 |
| 1073693917 | John C Loose | Family Medicine | 3201 W Gore Blvd Ste 305, Memorial Medical Group, Lawton, OK 73505-6350 | 2006-10-16 |
| 1891718631 | Donnie S Beasley | Family Medicine | 310 White Oak Rd, Lawton, MI 49065-9705 | 2006-07-25 |
| Find all providers in LAWTON | ||||
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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.