Active NPI
Kathryn S Newport, MD
- Anesthesiology Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 16467
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100090180A | Medicaid | OK | |
| 731044914045 | Other | BCBS OF OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16467 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Oklahoma Surgical Associates, LLC | Current | Accepting new patients | |
| J J Young | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Oklahoma, PLLC | Anesthesiology | Current | Accepting new patients |
| Agape Anesthesia Crna, PLLC | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | 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.
-
- Anesthesiology Physician
- Lawton, OK
- NPI 1033221122
-
- Ambulatory Surgical Clinic/Center
- Lawton, OK
- NPI 1841952397
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.