Daniel Max Goates, DO
Individual provider Active NPI Surgery Physician · Lawton, OK
NPI 1326409772 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1326409772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 6169 (OK)
- Practice address
- 110 NW 31St St
Lawton, OK 73505-6100 - Phone
- (508) 510-7042
- NPI assigned
- Mar 14, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comanche County Healthcare Corporation
Practice addresses (Care Compare)
110 NW 31St St
FL 3
Lawton, OK 73505-6100
Phone (580) 510-7042
Hospital & facility affiliations
- Memorial Home Health
- Memorial Health
- Duncan Regional Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 68 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 85 |
| Melanoma (skin cancer) excision | 15 |
| Removal of tissue | 11 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180420000358 | OK | Practitioner - General Surgery | 8527321736 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Current |
Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare | Surgery | Current |
Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Comanche County Hospital Authority | Past | Accepting new patients |
Locations
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
110 NW 31st St
Fl 3
Lawton, OK 73505
Phone (580) 250-5200
110 NW 31st St
Lawton, OK 73505
Phone (508) 510-7042
Interoperability endpoints
- daniel.goates@mmg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 6169 | OK | Yes |
Addresses
Primary practice location
110 NW 31St St
Lawton, OK 73505-6100
Mailing address
110 NW 31St St
Lawton, OK 73505-6100
Phone (508) 510-7042
NPI Registry JSON
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1326409772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 NW 31ST ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056100",
"telephone_number": "508-510-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NW 31ST ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056100",
"telephone_number": "508-510-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOATES",
"first_name": "DANIEL",
"middle_name": "MAX",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-14",
"last_updated": "2023-11-14",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "6169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 14, 2023. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.