Lawton Indian Hospital

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

L0017520 Issued in OK

Legal business name

LAWTON INDIAN HOSPITAL

Practice address

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002

Phone

(580) 354-5000

Fax

(580) 354-5289

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Thompson Gomez, L.P.N.NPI 1073979175

Title

LPN

Phone

(580) 354-5270

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Stephanie Gomez, L.P.N.

  • Licensed Practical Nurse
  • Lawton, OK
  • NPI 1073979175
  NPD (past) Authorized official

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1134599848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E BROADWAY ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730053018",
            "telephone_number": "405-247-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735073002",
            "telephone_number": "580-354-5000",
            "fax_number": "580-354-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON INDIAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "580-354-5270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "L0017520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PRACTICAL NURSE",
            "identifier": "L0017520",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawton General Surgery Clinic
• Lawton General Surgery PC
• Lawton Heritage Pharmacy Inc
• Lawton IHS Pharmacy
• Lawton Independent School District
• Lawton Indian Hospital
• Lawton Indian Hospital
• Lawton Indian Hospital
• Lawton Kidney Care LLC
• Lawton Med Partners LLC

• Clinic/Center in Lawton, OK
• Providers in Lawton, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.