Active NPI
Daniel Glenn Constance, M.D.
- Internal Medicine Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26711
- Practice address
- 5606 SW Lee Boulevard
Suite 203
Lawton, OK 73505 - Phone
- (580) 536-1111
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301082389 | MI | |
| Internal Medicine Physician | 207R00000X | 26711 | OK | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301082389 | MI | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 26711 | OK | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 4301082389 | MI | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 26711 | OK |
Addresses
Primary practice location
5606 SW Lee Boulevard
Suite 203
Lawton, OK 73505
Mailing address
5606 SW Lee Blvd
Suite 203
Lawton, OK 73505-0000
Phone (580) 536-1111
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone (580) 510-7037
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082389 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare | Past | Accepting new patients | |
| Comanche County Hospital Authority | Past | Accepting new patients |
Locations
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
5606 SW Lee Blvd
Ste 203
Lawton, OK 73505
Phone (580) 531-6469
Interoperability endpoints
- daniel.constance@mmg.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/5038/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
- Allergy & Immunology Physician
- Lawton, OK
- NPI 1013640846
-
- Family Medicine Physician
- Lawton, OK
- NPI 1982025250
-
- Surgery Physician
- Lawton, OK
- NPI 1285651232
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1912110578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 SW LEE BLVD",
"address_2": "SUITE 203",
"city": "LAWTON",
"state": "OK",
"postal_code": "735050000",
"telephone_number": "580-536-1111",
"fax_number": "580-536-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5606 SW LEE BOULEVARD",
"address_2": "SUITE 203",
"city": "LAWTON",
"state": "OK",
"postal_code": "73505",
"telephone_number": "580-536-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANCE",
"first_name": "DANIEL",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301082389",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "26711",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301082389",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OK",
"license": "26711",
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "MI",
"license": "4301082389",
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "OK",
"license": "26711",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.