Organization Active NPI

Nadim F. Nimeh, MD

  • Specialist
  • Lawton, OK
National Provider Identifier
1215196308
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13893 Issued in OK
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, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100047530AMedicaidOK
100208960AMedicaidOK

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.

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.

Verify at the official NPI Registry.