Active NPI
Zoobia Mirza, DO
- Psychiatry Physician
- Lawton, OK
National Provider Identifier
1457463036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4863
- Practice address
- 3401 W Gore Blvd
Lawton, OK 73505-6332 - Phone
- (580) 355-8620
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4863 | OK | Primary |
Addresses
Primary practice location
3401 W Gore Blvd
Lawton, OK 73505-6332
Mailing address
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 355-8620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, UT, WY, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4863 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Medical Services Southeast LLC | Current | Accepting new patients | |
| Coe-Medical PLLC | Current | Accepting new patients | |
| Healthdrive Medical Services of Texas LLC | Current | Accepting new patients | |
| Healthdrive Medical Services Intermountain, PC | Psychiatry | Current | Accepting new patients |
Locations
1500 32nd St S
Great Falls, MT 59405
Phone (406) 761-4300
6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141
2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232
416 N State St
Hurricane, UT 84737
Phone (435) 635-9833
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Boerne, TX
- NPI 1073907184
-
- Family Medicine Physician
- Framingham, MA
- NPI 1518836436
MT, Psychiatry, UT, WY
-
- Nurse Practitioner
- Fort Worth, TX
- NPI 1457132169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1457463036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332",
"telephone_number": "580-355-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332",
"telephone_number": "580-355-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRZA",
"first_name": "ZOOBIA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "4863",
"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. Last updated by the provider on Apr 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.