Active NPI
Nadim F. Nimeh, MD
- Specialist
- Lawton, OK
National Provider Identifier
1215196308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13893
- Legal business name
- NADIM F. NIMEH, MD
- Practice address
- 5002 SW Lee Blvd
Lawton, OK 73505-8320 - Phone
- (580) 536-2121
- Fax
- (580) 536-2150
- NPI assigned
- Jun 4, 2008
- Organization subpart
- Yes
- Parent organization
- NADIM F. NIMEH, MD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sue Nimeh
- Title
- Assistant Administrator
- Phone
- (580) 536-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13893 | OK | Primary |
Addresses
Primary practice location
5002 SW Lee Blvd
Lawton, OK 73505-8320
Mailing address
5002 SW Lee Blvd
Lawton, OK 73505-8320
Phone (580) 536-2121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100047530A | Medicaid | OK | |
| 100208960A | Medicaid | OK |
National Provider Directory
National Provider Directory- Part of
- Nadim F Nimeh MD
Locations
5002 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4512
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Lawton, OK
- NPI 1275512915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1215196308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058320",
"telephone_number": "580-536-2121",
"fax_number": "580-536-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058320",
"telephone_number": "580-536-2121",
"fax_number": "580-536-2150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADIM F. NIMEH, MD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NADIM F. NIMEH, MD",
"enumeration_date": "2008-06-04",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "NIMEH",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
"authorized_official_telephone_number": "580-536-2121",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OK",
"license": "13893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100047530A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100208960A",
"state": "OK"
}
],
"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 Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.