NPIMap

Organization Active NPI

Lawton General Surgery PC

  • Surgery Physician
  • Lawton, OK
National Provider Identifier
1508474792
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LAWTON GENERAL SURGERY PC
Practice address
3414 NW Cache Rd Ste F
Lawton, OK 73505-3878
Phone
(580) 308-9490
Fax
(580) 308-9491
NPI assigned
Jul 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Dr. Chukwukadibia J Odunukwe, MDNPI 1992778831
Title
General Surgeon
Phone
(580) 308-9490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3414 NW Cache Rd Ste F
Lawton, OK 73505-3878

Mailing address

PO Box 7081
Lawton, OK 73506-1081
Phone (580) 308-9490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrO@lawtongeneralsurgery.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22682/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1508474792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7081",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735061081",
            "telephone_number": "580-308-9490",
            "fax_number": "580-308-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 NW CACHE RD STE F",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053878",
            "telephone_number": "580-308-9490",
            "fax_number": "580-308-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWTON GENERAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "ODUNUKWE",
        "authorized_official_first_name": "CHUKWUKADIBIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "580-308-9490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrO@lawtongeneralsurgery.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "3414 NW Cache Rd Ste F",
            "city": "Lawton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735053878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 14, 2020; 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.