Organization Active NPI

Nabila Elzind MD PC

Doing business as nabila elzind MD

  • Specialist
  • Lawton, OK
National Provider Identifier
1083200349
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NABILA ELZIND MD PC
Doing business as
nabila elzind MD
Practice address
4411 W Gore Blvd Ste B4
Lawton, OK 73505-5977
Phone
(580) 351-2400
Fax
(580) 351-2414
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Mrs. Nagwa Minaisy
Title
Office Manager
Phone
(408) 506-7458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4411 W Gore Blvd Ste B4
Lawton, OK 73505-5977

Mailing address

4411 W Gore Blvd Ste B4
Lawton, OK 73505-5977
Phone (580) 351-2400

Other identifiers 1

IdentifierTypeStateIssuer
100017810BMedicaidOK

Other names 1

  • nabila elzind MD Doing business as

National Provider Directory

National Provider Directory

Locations

4411 W Gore Blvd
Ste B4
Lawton, OK 73505
Phone (580) 351-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1083200349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD STE B4",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-351-2400",
            "fax_number": "580-351-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 W GORE BLVD STE B4",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055977",
            "telephone_number": "580-351-2400",
            "fax_number": "580-351-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABILA ELZIND MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "MINAISY",
        "authorized_official_first_name": "NAGWA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-506-7458",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100017810B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "nabila elzind MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 21, 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.