Wachita Kidney and Hypertension Specialists PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25397 Issued in OK

Legal business name

WACHITA KIDNEY AND HYPERTENSION SPECIALISTS PLLC

Practice address

4417 W Gore Blvd Ste 3
Lawton, OK 73505-5978

Phone

(580) 357-1002

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raphael Loutoby, MD

Title

Ceo

Phone

(580) 357-1002

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023239431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7227",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735061227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 W GORE BLVD STE 3",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055978",
            "telephone_number": "580-357-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACHITA KIDNEY AND HYPERTENSION SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOUTOBY",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-357-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "25397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Vo
• Luanne Thanh Vo, D.O.
• David Paul Vogel, MD
• Volunteers of America of Oklahoma, Inc.
• Gayle Voyles, L.P.C.
• Deborah Wade
• Karen Michele Wade
• Brett James Wagner, O.D.
• Jennifer Wahkinney, RN
• Kimberly Waite

• Pulmonary Disease Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Pulmonary Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.