Individual provider Active NPI

Shireen Bhargava, MD

  • Obstetrics & Gynecology Physician
  • Lawton, OK
National Provider Identifier
1851409072
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15054 Issued in OK
Practice address
4302 SW Lee Blvd
Lawton, OK 73505
Phone
(580) 357-0058
Fax
(580) 248-7667
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20090309000241 OK Practitioner - Obstetrics/Gynecology 9133285620

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay Bhargava MD Inc Obstetrics & Gynecology CurrentSince May 1, 2008 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4302 SW Lee Blvd
Lawton, OK 73505
Phone (580) 357-0058

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 15054 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

4302 SW Lee Blvd
Lawton, OK 73505

Mailing address

4302 SW Lee Blvd
Lawton, OK 73505
Phone (580) 357-0058

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851409072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-357-0058",
            "fax_number": "580-248-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-357-0058",
            "fax_number": "580-248-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARGAVA",
        "first_name": "SHIREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "15054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.