Individual provider Active NPI

Robert Milton Love, MD

  • Internal Medicine Physician
  • Lawton, OK
National Provider Identifier
1255322111
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10543 Issued in OK
Practice address
6401 SW Lee Blvd
Lawton, OK 73505-9678
Phone
(580) 536-4585
Fax
(580) 536-2423
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10543 OK Primary

Addresses

Primary practice location

6401 SW Lee Blvd
Lawton, OK 73505-9678

Mailing address

6401 SW Lee Blvd
Lawton, OK 73505-9678
Phone (580) 536-4585

Other identifiers 1

IdentifierTypeStateIssuer
100733800AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10543OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Love MD Inc Internal Medicine CurrentSince Jun 30, 1975 Accepting new patients
Comanche Nephrology PC Current Accepting new patients
Comanche County Hospital Authority PastSince Jul 1, 1997 Accepting new patients

Locations

6401 SW Lee Blvd
Lawton, OK 73505
Phone (580) 536-4585

Organizations & group practices 3

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1255322111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059678",
            "telephone_number": "580-536-4585",
            "fax_number": "580-536-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059678",
            "telephone_number": "580-536-4585",
            "fax_number": "580-536-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "ROBERT",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "10543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100733800A",
            "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 Jul 8, 2010; 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.