Active NPI
Carol A Lennon, MD
- Obstetrics & Gynecology Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 22213
- Practice address
- 102 NW 31St
Lawton, OK 73505 - Phone
- (580) 353-6790
- Fax
- (580) 510-7019
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22213 | OK | Primary |
Addresses
Primary practice location
102 NW 31St
Lawton, OK 73505
Mailing address
PO Box 785
Lawton, OK 73502
Phone (580) 357-9984
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100004490A | Medicaid | OK | |
| 7901279 | Other | OK | AETNA |
| 048624860001 | Other | OK | BCBS -102 NW 31ST STREET |
| 160053318 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Connecticut School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 NW 31St St
Lawton, OK 73505-6100
Phone (580) 353-6790
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22213 | OK | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Obhg Oklahoma, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Comanche County Hospital Authority | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Norman Regional Hospital Authority | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Comanche County Hospital Authority | Past | Accepting new patients | |
| Comanche County Healthcare | Past | Accepting new patients |
Locations
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
102 NW 31st St
Lawton, OK 73505
Phone (580) 353-6790
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
Interoperability endpoints
- carol.lennon@mmg.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
- Obstetrics & Gynecology Physician
- Tulsa, OK
- NPI 1043595374
-
- Allergy & Immunology Physician
- Lawton, OK
- NPI 1013640846
-
- Federally Qualified Health Center (FQHC)
- Lawton, OK
- NPI 1346266731
-
- Surgery Physician
- Lawton, OK
- NPI 1285651232
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1356336077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 785",
"city": "LAWTON",
"state": "OK",
"postal_code": "73502",
"telephone_number": "580-357-9984",
"fax_number": "580-357-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 NW 31ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "73505",
"telephone_number": "580-353-6790",
"fax_number": "580-510-7019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNON",
"first_name": "CAROL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "22213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100004490A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7901279",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS -102 NW 31ST STREET",
"identifier": "048624860001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160053318",
"state": null
}
],
"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 Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.