Individual provider Active NPI

Kathryn S Newport, MD

  • Anesthesiology Physician
  • Lawton, OK
National Provider Identifier
1194717769
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16467 Issued in OK
Practice address
5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone
(580) 531-4700
Fax
(580) 531-6477
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16467 OK Primary

Addresses

Primary practice location

5602 SW Lee Blvd
Lawton, OK 73505-9635

Mailing address

PO Box 840807
Dallas, TX 75284-0807
Phone (580) 531-4700

Other identifiers 2

IdentifierTypeStateIssuer
100090180AMedicaidOK
731044914045OtherBCBS OF OK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080407000461 OK Practitioner - Anesthesiology 5395822985 Reassigns benefits to 4 organizations
I20170607000892 TX Practitioner - Anesthesiology 5395822985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J J YoungGroup PAC ID 7517126105, 3 clinicians

Practice addresses (Care Compare)

4214 SW Lee Blvd
Lawton, OK 73505-8340
Phone (580) 353-5860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16467OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Oklahoma Surgical Associates, LLC CurrentSince Mar 1, 2024 Accepting new patients
J J Young Anesthesiology CurrentSince Jan 29, 2001 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC Anesthesiology CurrentSince Apr 1, 2011 Accepting new patients
Agape Anesthesia Crna, PLLC CurrentSince Sep 13, 2023 Accepting new patients
Lawton Indian Hospital CurrentSince May 16, 2017 Accepting new patients

Locations

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

4214 SW Lee Blvd
Lawton, OK 73505
Phone (580) 353-5860

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

5370 NW Cache Rd
Ste 4
Lawton, OK 73505
Phone (405) 888-3893

5374 NW Cache Rd
Lawton, OK 73505
Phone (580) 536-0000

1540 Keller Pkwy
Ste 108429
Keller, TX 76248

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1194717769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840807",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840807",
            "telephone_number": "580-531-4700",
            "fax_number": "580-531-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059635",
            "telephone_number": "580-531-4700",
            "fax_number": "580-531-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWPORT",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "16467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100090180A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OK",
            "identifier": "731044914045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.