NPIMap

Individual provider Active NPI

Andrew Stevens, MD

  • Surgery Physician
  • Lawton, OK
National Provider Identifier
1598850901
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25332 Issued in OK
Practice address
5602 SW Lee Blvd
Lawton, OK 73505-9699
Phone
(580) 531-4700
NPI assigned
Oct 3, 2006
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25332 OK Primary

Addresses

Primary practice location

5602 SW Lee Blvd
Lawton, OK 73505-9699

Mailing address

1507 Augusta Dr
Ada, OK 74820-8576
Phone (580) 235-2302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241106001099 OK Practitioner - General Surgery 4385642107 Reassigns benefits to 2 organizations
I20260603002758 MT Practitioner - General Surgery 4385642107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Dakota School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Surgical Affiliates, LLCGroup PAC ID 0941365308, 22 clinicians

Practice addresses (Care Compare)

5604 SW Lee Blvd
Suite 210
Lawton, OK 73505-9663
Phone (580) 531-6465

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Surgical Affiliates, LLC CurrentSince Oct 1, 2024 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 1, 2025 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 1, 2025 Accepting new patients
Comanche County Healthcare Surgery Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients

Locations

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

5604 SW Lee Blvd
Ste 210
Lawton, OK 73505
Phone (580) 531-4700

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

Interoperability endpoints

  • Direct secure messaging: andrew.stevens.1@1821.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1598850901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 AUGUSTA DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748208576",
            "telephone_number": "580-235-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059699",
            "telephone_number": "580-531-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "25332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.