NPIMap

Organization Active NPI

Comanche County Hospital Authority Southwest Radiology

  • Diagnostic Radiology Physician
  • Lawton, OK
National Provider Identifier
1194996447
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COMANCHE COUNTY HOSPITAL AUTHORITY SOUTHWEST RADIOLOGY
Practice address
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone
(580) 355-8620
NPI assigned
Mar 14, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Mr. Tom Steinmetz
Title
Sr Dir Finance
Phone
(580) 355-8620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3401 W Gore Blvd
Lawton, OK 73505-6332

Mailing address

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 355-8620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, FL, IL, CA, MI, AL, NY7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20090209000657 OK Part B Supplier - Clinic/Group Practice 7113082009 Receives reassigned benefits from 11 practitioners
Practice locations: Skiatook, OK; Oklahoma City, OK; Owasso, OK; Tahlequah, OK; Tulsa, OK; Wann, OK; Yukon, OK; Nichols Hills, OK…
O20131023001153 FL Part B Supplier - Clinic/Group Practice 7113082009 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Pensacola, FL
O20200108001866 IL Part B Supplier - Clinic/Group Practice 7113082009 Receives reassigned benefits from 6 practitioners
Practice locations: Chicago, IL; Skokie, IL; Lincolnwood, IL; Kildeer, IL
O20200205001172 CA Part B Supplier - Clinic/Group Practice 7113082009 Receives reassigned benefits from 2 practitioners
Practice locations: Newport Coast, CA; San Marcos, CA
O20201013003464 MI Part B Supplier - Clinic/Group Practice 7113082009 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, MI
O20240812000991 AL Part B Supplier - Clinic/Group Practice 7113082009 Receives reassigned benefits from 1 practitioner
Practice locations: Owens Cross Roads, AL
O20250813000059 NY Part B Supplier - Clinic/Group Practice 7113082009 Receives reassigned benefits from 1 practitioner
Practice locations: Sag Harbor, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1194996447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-355-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-355-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMANCHE COUNTY HOSPITAL AUTHORITY SOUTHWEST RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "STEINMETZ",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "SR DIR FINANCE",
        "authorized_official_telephone_number": "580-355-8620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.