Organization Active NPI

Mark W. Cotton, D.O.

  • General Practice Physician
  • Lawton, OK
National Provider Identifier
1306197595
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
3005 Issued in OK
Legal business name
MARK W. COTTON, D.O.
Practice address
5610 SW Lee Blvd
Lawton, OK 73505-9635
Phone
(580) 536-6600
Fax
(580) 536-2427
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Mark W Cotton, D.O.
Title
Supervising Physician
Phone
(580) 536-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 3005 OK Primary

Addresses

Primary practice location

5610 SW Lee Blvd
Lawton, OK 73505-9635

Mailing address

5610 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 536-6600

Other identifiers 1

IdentifierTypeStateIssuer
100101580BMedicaidOK

Other names 1

  • Family Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1306197595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059635",
            "telephone_number": "580-536-6600",
            "fax_number": "580-536-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059635",
            "telephone_number": "580-536-6600",
            "fax_number": "580-536-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. COTTON, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "580-536-6600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101580B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2012; 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.