Active NPI
Tracy Olonnie Sweeney Jr.
- Surgical Assistant
- Lawton, OK
National Provider Identifier
1942020334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 23-585
- Practice address
- 110 NW 31St St FL 2
Lawton, OK 73505-6100 - Phone
- (580) 357-3671
- NPI assigned
- Oct 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Surgical Assistant | 246ZC0007X | 23-585 | TX | Primary |
Addresses
Primary practice location
110 NW 31St St FL 2
Lawton, OK 73505-6100
Mailing address
4504 SW Parkway Dr
Lawton, OK 73505-8051
Phone (580) 591-1831
Other practice location 1
2602 Saint Michael Dr
Texarkana, TX 75503-2387
Phone (903) 614-5160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-585 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1942020334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4504 SW PARKWAY DR",
"city": "LAWTON",
"state": "OK",
"postal_code": "735058051",
"telephone_number": "580-591-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NW 31ST ST FL 2",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056100",
"telephone_number": "580-357-3671"
}
],
"practiceLocations": [
{
"address_1": "2602 Saint Michael Dr",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755032387",
"country_code": "US",
"telephone_number": "903-614-5160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEENEY",
"first_name": "TRACY",
"middle_name": "OLONNIE",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-11",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "23-585",
"primary": true
}
],
"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 Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.