Comanche County Healthcare
Organization Active NPI Surgery Physician · Lawton, OK
NPI 1285651232 · NPPES record last updated Sep 24, 2013
Key facts
- NPI
- 1285651232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 22527 (OK)
- Legal business name
- COMANCHE COUNTY HEALTHCARE
- Practice address
- 2716 W Gore Blvd
Suite C
Lawton, OK 73505 - Phone
- (580) 357-3280
- Fax
- (580) 357-7495
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David Blackmon
- Title
- Cfo
- Phone
- (580) 355-8620
Other NPIs on the same Medicare enrollment 39
Corporate family (same tax ID) 33
Practitioners 151
-
Thara Rani Damodaran, M.D.
-
Tara Herren, APRN-CNP
-
Scott M Kochenower, D.P.M.
-
Kristi Dawn Pratt, APRN-CNP
-
Omer Suhaib, MD
-
Luanne Thanh Vo, D.O.
-
Leslie Ann Giesemann, M.D.
-
Aleyamma Mathew, NP-C
-
Vaqar Ahmad, MD
-
Arif Ajmeri, MD
-
Munawar Ali, MD
-
Angel Marie Allen, APRN
-
Sonia Allouch, MD
-
Angelo Argento, M.D.
-
Steven Elliot Arnold, PA-C
-
Anibal Mikjail Avila, M.D.
-
Srilatha R Ayirala, M.D.
-
Bryan Barnes, APRN-CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000742 | OK | Part B Supplier - Clinic/Group Practice | 0749192433 |
Receives reassigned benefits from 166 practitioners 40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lawton, OK; Oklahoma City, OK; Pawhuska, OK; Snyder, OK; Tahlequah, OK; The Village, OK; Edmond, OK; Frederick, OK |
National Provider Directory
- Tax ID family
- Troy L Harden DO
Locations
3811 W Gore Blvd
Lawton, OK 73505
Phone (580) 581-1500
2716 W Gore Blvd
Ste E
Lawton, OK 73505
Phone (405) 357-1220
5604 SW Lee Blvd
Ste 210
Lawton, OK 73505
Phone (580) 531-4700
5606 SW Lee Blvd
Ste 302
Lawton, OK 73505
Phone (580) 531-4750
3401 W Gore Blvd
Fl 2
Lawton, OK 73505
4411 W Gore Blvd
Ste Aa
Lawton, OK 73505
4645 W Gore Blvd
Ste 4
Lawton, OK 73505
3201 W Gore Blvd
Ste 202
Lawton, OK 73505
Phone (580) 248-7872
5604 SW Lee Blvd
Ste 357
Lawton, OK 73505
Phone (580) 531-4600
110 NW 31st St
#3
Lawton, OK 73505
5604 SW Lee Blvd
Ste 257
Lawton, OK 73505
Phone (580) 699-8020
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
3811 W Gore Blvd
Ste 2
Lawton, OK 73505
Phone (580) 357-9984
164468 S Broadway St
Marlow, OK 73055
Phone (580) 658-9100
1710 S Broadway St
Marlow, OK 73055
717 S Houston Ave
Tulsa, OK 74127
Phone (918) 382-3178
2800 E Cottonwood Pkwy
Ste 400
Salt Lake City, UT 84121
Phone (385) 478-4518
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 22527 | OK | Yes |
Addresses
Primary practice location
2716 W Gore Blvd
Suite C
Lawton, OK 73505
Mailing address
PO Box 785
Lawton, OK 73502
Phone (580) 357-9984
Other names
- Comanche County Wound Care Center
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.