Active NPI
Xgto Urgent Medical of Lawton, LLC
- Urgent Care Clinic/Center
- Lawton, OK
National Provider Identifier
1891027371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- XGTO URGENT MEDICAL OF LAWTON, LLC
- Practice address
- 1902 E Gore Blvd
Lawton, OK 73501-6102 - Phone
- (580) 357-4200
- Fax
- (580) 357-4201
- NPI assigned
- Feb 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Claudia Kesselheim
- Title
- Business Manager
- Phone
- (580) 357-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1902 E Gore Blvd
Lawton, OK 73501-6102
Mailing address
1902 E Gore Blvd
Lawton, OK 73501-6102
Phone (580) 357-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200283810A | Medicaid | OK |
Other names 1
- WellFast Urgent Care Center East
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110131000222 | OK | Part B Supplier - Clinic/Group Practice | 4789863267 |
Receives reassigned benefits from 6 practitioners Practice locations: Lawton, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2006109 | Wellfast Urgent Care Center | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
1902 E Gore Blvd
Lawton, OK 73501
Phone (580) 357-4200
Practitioners & affiliated clinicians
Practitioners 6
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": "1265587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477526400000",
"number": "1891027371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 E GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735016102",
"telephone_number": "580-357-4200",
"fax_number": "580-357-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 E GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735016102",
"telephone_number": "580-357-4200",
"fax_number": "580-357-4201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XGTO URGENT MEDICAL OF LAWTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-08",
"last_updated": "2016-10-27",
"status": "A",
"authorized_official_last_name": "KESSELHEIM",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "580-357-4200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200283810A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WellFast Urgent Care Center East",
"code": "3",
"type": "Doing Business As"
}
]
}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 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.