John Kean Cauthon, DPM
Individual provider Active NPI Podiatrist · Duncan, OK
NPI 1376528372 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1376528372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 184 (OK)
- Practice address
- 1314 N Harville Rd
Duncan, OK 73533-1514 - Phone
- (580) 255-6600
- Fax
- (580) 255-7887
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comanche County Hospital Authority
Practice addresses (Care Compare)
3401 W Gore Blvd
Lawton, OK 73505-6332
5404 SW Lee Blvd
Lawton, OK 73505-9521
Phone (580) 355-5242
Hospital & facility affiliations
- Memorial Health
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101208001128 | OK | Practitioner - Podiatry | 5890802623 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184 | OK | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Hospital Authority | Current |
Accepting new patients | |
| Comanche County Hospital Authority | Current |
Accepting new patients | |
| Comanche County Healthcare | Past | Accepting new patients | |
| Comanche County Hospital Authority | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
5404 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-5242
3811 W Gore Blvd
Lawton, OK 73505
Phone (580) 581-1500
3811 W Gore Blvd
Ste 6
Lawton, OK 73505
Phone (580) 250-6525
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
Interoperability endpoints
- john.cauthon@lawtoncommunityhealthcenter.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 184 | OK | Yes |
Addresses
Primary practice location
1314 N Harville Rd
Duncan, OK 73533-1514
Mailing address
1314 N Harville Rd
Duncan, OK 73533-1514
Phone (580) 255-6600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100716640A | Medicaid | OK |
Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. 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.