NPIMap

Organization Active NPI

Lawton General Surgery Clinic

  • Surgery Physician
  • Lawton, OK
National Provider Identifier
1467736769
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25895 Issued in OK
Legal business name
LAWTON GENERAL SURGERY CLINIC
Practice address
3805 W Gore Blvd
Suite 4
Lawton, OK 73505-6334
Phone
(580) 581-1994
Fax
(580) 581-1285
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Daniel Igwe Jr., MD
Title
President
Phone
(951) 929-6260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25895 OK Primary

Addresses

Primary practice location

3805 W Gore Blvd
Suite 4
Lawton, OK 73505-6334

Mailing address

PO Box 788
Hemet, CA 92546-0788
Phone (951) 929-6260

National Provider Directory

National Provider Directory

Locations

3805 W Gore Blvd
#4
Lawton, OK 73505
Phone (580) 581-1994

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1467736769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925460788",
            "telephone_number": "951-929-6260",
            "fax_number": "951-765-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 W GORE BLVD",
            "address_2": "SUITE 4",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056334",
            "telephone_number": "580-581-1994",
            "fax_number": "580-581-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON GENERAL SURGERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-929-6260",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "25895",
            "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 Oct 5, 2011; 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.