Active NPI
Nabila Elzind MD PC
Doing business as nabila elzind MD
- Specialist
- Lawton, OK
National Provider Identifier
1083200349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100017810B | Medicaid | OK |
Other names 1
- nabila elzind MD
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Lawton, OK
- NPI 1003849035
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.