NPIMap

Individual provider Active NPI

Eugen Ivan, MD

  • Specialist
  • Lawton, OK
National Provider Identifier
1790735389
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6121228-1205 Issued in UT
Practice address
3106 NW Arlington Ave
Lawton, OK 73505-6123
Phone
(580) 250-4278
Fax
(580) 581-1548
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6121228-1205 UT Primary

Addresses

Primary practice location

3106 NW Arlington Ave
Lawton, OK 73505-6123

Mailing address

3106 NW Arlington Ave
Lawton, OK 73505-6123
Phone (580) 250-4278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000655 OK Practitioner - Cardiovascular Disease (Cardiology) 1254383391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comanche County Hospital AuthorityGroup PAC ID 6406094424, 9 clinicians
Comanche County Hospital AuthorityGroup PAC ID 2668373689, 54 clinicians

Practice addresses (Care Compare)

3106 NW Arlington Ave
County Memorial Hospital
Lawton, OK 73505-6123
Phone (580) 250-4278

3401 W Gore Blvd
Heart and Vascular
Lawton, OK 73505-6332
Phone (580) 483-5207

Hospital & facility affiliations

  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Lawton Indian Hospital Hospital, Lawton, OK, CCN 370170
  • Southwestern Medical Center Hospital, Lawton, OK, CCN 370097

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting35
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6121228-1205UTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Authority CurrentSince Mar 21, 2016 Accepting new patients
Comanche County Hospital Authority CurrentSince Mar 1, 2013 Accepting new patients
Comanche County Hospital Authority CurrentSince Mar 21, 2016 Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 21, 2010 Accepting new patients
Comanche County Healthcare Corporation Current Accepting new patients
Comanche County Healthcare Corporation CurrentSince Dec 21, 2010 Accepting new patients
Chicago Heart and Vascular Consultants, LTD Past Accepting new patients
Heart & Vascular Center PLLC Past Accepting new patients
Comanche County Healthcare Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

1015 E Broadway St
Ste 105
Altus, OK 73521
Phone (580) 477-1336

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

3106 NW Arlington Ave
Lawton, OK 73505
Phone (580) 250-4278

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

Organizations & group practices 11

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.

Hospital & facility affiliations 11

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1790735389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 NW ARLINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056123",
            "telephone_number": "580-250-4278",
            "fax_number": "580-581-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 NW ARLINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056123",
            "telephone_number": "580-250-4278",
            "fax_number": "580-581-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVAN",
        "first_name": "EUGEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "6121228-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.