Active NPI
Stephen Kwame Ofori-Kwakye, MD
- Neurological Surgery Physician
- Lawton, OK
National Provider Identifier
1013975580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 21457
- Practice address
- 3201 W Gore Blvd
Suite 303
Lawton, OK 73505-6378 - Phone
- (580) 353-6000
- Fax
- (580) 353-0800
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 21457 | OK | Primary |
Addresses
Primary practice location
3201 W Gore Blvd
Suite 303
Lawton, OK 73505-6378
Mailing address
3201 W Gore Blvd
Suite 303
Lawton, OK 73505-6378
Phone (580) 353-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140007439 | Other | OK | RAILROAD |
Other names 1
- Dr. Stephen Kwame Ofori-Kwayke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Yale University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3201 W Gore Blvd
Suite 303
Lawton, OK 73505-6350
Phone (580) 353-6000
Hospital & facility affiliations
- Memorial Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21457 | OK | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgery Center of Southwest Oklahoma Inc | Neurological Surgery | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Comanche County Hospital Authority | Past | Accepting new patients |
Locations
3201 W Gore Blvd
Ste 303
Lawton, OK 73505
Phone (580) 353-6000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGDFBA/Endpoint/EGDFBA
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Lawton, OK
- NPI 1558675785
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1013975580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W GORE BLVD",
"address_2": "SUITE 303",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056378",
"telephone_number": "580-353-6000",
"fax_number": "580-353-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W GORE BLVD",
"address_2": "SUITE 303",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056378",
"telephone_number": "580-353-6000",
"fax_number": "580-353-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFORI-KWAKYE",
"first_name": "STEPHEN",
"middle_name": "KWAME",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OK",
"license": "21457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "140007439",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHEN",
"last_name": "OFORI-KWAYKE",
"middle_name": "KWAME",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.