Southwestern Medical Center, LLC
Organization Active NPI General Acute Care Hospital · Lawton, OK
NPI 1952359986 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1952359986
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 2231 (OK)
- Legal business name
- SOUTHWESTERN MEDICAL CENTER, LLC
- Practice address
- 5602 SW Lee Blvd
Lawton, OK 73505-9635 - Phone
- (580) 531-4700
- Fax
- (580) 531-4702
- NPI assigned
- May 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Johnetta Traylor
- Title
- Ao
- Phone
- (502) 596-6063
Other NPIs on the same Medicare enrollment 2
Practitioners 76
-
Munawar Ali, MD
-
Sonia Allouch, MD
-
Joel W Anderson III, M.D.
-
Steven Elliot Arnold, PA-C
-
Andrew David Barbosa, M.D.
-
Herschel L Brown, MD
-
Maristela Cibes-Silva, M.D.
-
Mark W Cotton, DO
-
Kenda L Dean, ARNP
-
Steve Egwuonwu, MD
-
Nabila Hassan El Zind, M.D.
-
Emilie Charlene Fallwell, NP-C
-
Danny W Giles, M.D.
-
Jennifer Joy Griffin, D.D.S.
-
Nakeda Lashon Hall, APRN-CNP
-
Kimberly Noelle Hanley, APRN, NP-C
-
Jeffery Charles Hickman, D.C., P.A.-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050804000956 | OK | Part B Supplier - Clinic/Group Practice | 8527097013 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lawton, OK |
National Provider Directory
Locations
4411 W Gore Blvd
Ste B10
Lawton, OK 73505
Phone (580) 353-0909
5604 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2231 | OK | Yes |
Addresses
Primary practice location
5602 SW Lee Blvd
Lawton, OK 73505-9635
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-6063
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100697950 | Medicaid | OK |
Other names
- Southwestern Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | southwesternmedcen@southmc.medalliesdirect.net |
NPI Registry JSON
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1952359986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "502-596-6063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5602 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735059635",
"telephone_number": "580-531-4700",
"fax_number": "580-531-4702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWESTERN MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "TRAYLOR",
"authorized_official_first_name": "JOHNETTA",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "502-596-6063"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "OK",
"license": "2231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100697950",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "southwesternmedcen@southmc.medalliesdirect.net",
"affiliation": "N",
"address_1": "5602 SW Lee Blvd",
"city": "Lawton",
"state": "OK",
"country_code": "US",
"postal_code": "735059635",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Southwestern Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southwestern Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lawton, OK
- Southwestern Medical Associates, P.C.
- Southwestern Medical Center
- Southwestern Medical Center, LLC
- Southwestern Medical Center, LLC
- Southwestern Medical Center, LLC
- Southwestern Neurosurgery Physicians LLC
- Southwestern Oklahoma Surgical Associates, LLC
- Southwestern Oklahoma Surgical Associates, LLC
- Southwestern Pathology Associates
- Southwestern Pediatrics LLC
All providers in Lawton, OK · General Acute Care Hospital in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.