THE BREAST CENTER (NPI# 1215952023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215952023 |
| Entity Type | Organization |
| Organization Name | THE BREAST CENTER |
| Practice Address |
5604 Sw Lee Blvd Suite 150 Lawton OK 73505-9681 |
| Practice Telephone | 5805369729 |
| Practice Fax Number | 5805362584 |
| Mailing Telephone | 5805369729 |
| Mailing Fax Number | 5805362584 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MONIQUE C PRESTON (EXEC. CORP. DIRECTOR) |
| Authorized Official Telephone | 5805369729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
141952 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | FDA NUMBER | 141952 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902144827 | The Breast Center | Specialist | 7900 Fannin St, Suite 1500, Houston, TX 77054-2934 | 2013-01-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | THE BREAST CENTER AT WILLAMETTE VALLEY MEDICAL CENTER | 501 Corporate Centre Dr Ste 200, Franklin, TN 37067 |
| Oregon Corporations, Companies and Business Names | THE BREAST CENTER AT WVMC | 501 Corporate Centre Drive Ste 200, Franklin, TN 37067 |
| Indiana Business Entities | THE BREAST CENTER, P.C. | 5430 James Road, Bloomington, IN 47408 |
| Street Address |
5604 SW LEE BLVD SUITE 150 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689669905 | David M Pagnanelli | Neurological Surgery | 5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 | 2005-09-13 |
| 1952582900 | Lawton Family Practice & Allergy Clinic | Family Medicine | 5604 Sw Lee Blvd, Suite 245, Lawton, OK 73505-9681 | 2007-11-19 |
| 1558588616 | Erlan Duus M.d. Pllc | Surgery | 5604 Sw Lee Blvd, Ste 310, Lawton, OK 73505-9681 | 2007-04-19 |
| 1669481438 | Erlan C Duus | Plastic Surgery | 5604 Sw Lee Blvd, Suite 310, Lawton, OK 73505-9681 | 2006-08-07 |
| 1477595924 | Southwestern Neurosurgery Physicians LLC | Psychiatry & Neurology | 5604 Sw Lee Blvd, Suite 357, Lawton, OK 73505-9681 | 2006-06-11 |
| 1700853801 | Behrooz Tohidi | Orthopaedic Surgery | 5604 Sw Lee Blvd, Suite 210, Lawton, OK 73505-9663 | 2006-03-07 |
| 1992778831 | Chukwukadibia J Odunukwe | Surgery | 5604 Sw Lee Blvd, Suite 210, Lawton, OK 73505-9681 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811238918 | The Lawton Imaging Center, LLC | Clinic/Center | 1108 Sw B Ave, Lawton, OK 73501-4229 | 2013-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770116329 | Zoom Diagnostic Imaging Ardmore LLC | Clinic/Center | 1228 Merrick Dr, Ardmore, OK 73401-1824 | 2020-02-21 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1962768143 | Comprehensive Diagnostic Imaging, LLC | Clinic/Center | 5800 North Portland Avenue, Oklahoma City, OK 73112 | 2012-04-02 |
| 1770751281 | Hefner Ct Associates | Clinic/Center | 3400 West Hefner Road, Oklahoma City, OK 73120 | 2008-02-19 |
| 1316159213 | Drh Imaging, LLC | Clinic/Center | 1414 Duncan Regional Loop Rd, Duncan, OK 73533 | 2007-05-04 |
| 1760411540 | Mcalester Imaging Associates LLC | Clinic/Center | 10 S 3rd St, Suite 100, Mcalester, OK 74501-5319 | 2006-07-02 |
| 1174552947 | Ct Associates No. 1, L.L.C. | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2006-07-02 |
| 1114962420 | Therasolutions, Inc. | Clinic/Center | 5900 Mosteller Dr, Suite 150, Oklahoma City, OK 73112-4600 | 2006-06-19 |
| 1841233509 | Norman Mri Associates, LLC | Clinic/Center | 3750 W. Robinson #130, Norman, OK 73072 | 2006-06-13 |
| 1912952714 | Open-sided Mri of Stillwater Inc | Clinic/Center | 1909 W 6th Ave, Suite A, Stillwater, OK 74074-4204 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.