NPIMap

Individual provider Active NPI

Stephen Kwame Ofori-Kwakye, MD

  • Neurological Surgery Physician
  • Lawton, OK
National Provider Identifier
1013975580
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
21457 Issued in OK
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
Last updated
Jun 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 names 1

  • Dr. Stephen Kwame Ofori-Kwayke Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000502 OK Practitioner - Neurosurgery 6406024306 Reassigns benefits to 1 organization

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery Center of Southwest Oklahoma Inc Neurological Surgery CurrentSince Jan 1, 2011 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

  • FHIR API: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": [],
    "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

Verify at the official NPI Registry.