COMANCHE COUNTY HEALTHCARE CORPORATION (NPI# 1255871497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255871497 |
| Entity Type | Organization |
| Organization Name | COMANCHE COUNTY HEALTHCARE CORPORATION |
| Other Organization Name | MMG HEART AND VASCULAR CENTER |
| Practice Address |
3106 Nw Arlington Ave Lawton OK 73505-6123 |
| Mailing Address |
Po Box 785 Lawton OK 73502-0785 |
| Practice Telephone | 5802504278 |
| Practice Fax Number | 5805811548 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | BRENT SMITH (CEO) |
| Authorized Official Telephone | 5803558620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MMG Heart and Vascular Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604376 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd Ste G1, Lawton, OK 73505-6308 | 2020-03-13 |
| 1326558180 | Comanche County Healthcare Corporation | Psychiatry & Neurology | 3201 W Gore Blvd Ste 300, Lawton, OK 73505-6350 | 2017-10-06 |
| 1306863287 | Comanche County Healthcare Corporation | Obstetrics & Gynecology | 102 Nw 31st St, Lawton, OK 73505 | 2006-07-16 |
| 1114466455 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd, Suite 203, Lawton, OK 73505-6378 | 2017-02-20 |
| 1609315308 | Comanche County Healthcare Corporation | Otolaryngology | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2017-02-15 |
| 1134586563 | Comanche County Healthcare Corporation | Internal Medicine | 6401 Sw Lee Blvd, Lawton, OK 73505-9678 | 2016-01-15 |
| 1548648579 | Comanche County Healthcare Corporation | Podiatrist | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505-6100 | 2015-05-11 |
| 1164800348 | Comanche County Healthcare Corporation | Internal Medicine | 4202 Sw Lee Blvd, Bldg A Ste 104, Lawton, OK 73505-8300 | 2015-05-08 |
| 1891195590 | Comanche County Healthcare Corporation | Nurse Practitioner | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505-6016 | 2014-08-29 |
| 1982025250 | Comanche County Healthcare Corporation | Family Medicine | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 | 2014-01-03 |
| Street Address |
3106 NW ARLINGTON AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-6123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116363 | Thomas Lee Mills | Physician Assistant | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2005-07-01 |
| 1467860908 | Osu Center for Health Sciences | Clinic/Center | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2014-07-29 |
| 1003155821 | Comanche County Hospital Authority | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2013-02-14 |
| 1932477965 | Heart and Vascular Center Pllc | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2011-12-05 |
| 1710174867 | Srilatha R Ayirala | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2007-10-02 |
| 1235246018 | Senthil Nachimuthu | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-08-25 |
| 1144232570 | Sherryl A. Evans | Physician Assistant | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-08-13 |
| 1861412223 | Bassam C. Saliba | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-07-20 |
| 1730115114 | Heart & Vascular Center Pllc | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-06-25 |
| 1679527030 | Robert F Sweeney | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505 | 2006-05-20 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730133323 | Ronald G Woodson | Internal Medicine | 3106 Nw Arlington, Lawton, OK 73505 | 2006-05-19 |
| 1346795390 | Comanche County Hospital Authority | Internal Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2016-08-19 |
| 1003155821 | Comanche County Hospital Authority | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2013-02-14 |
| 1932477965 | Heart and Vascular Center Pllc | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2011-12-05 |
| 1710174867 | Srilatha R Ayirala | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2007-10-02 |
| 1861412223 | Bassam C. Saliba | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-07-20 |
| 1316963705 | Comanche County Healthcare | Internal Medicine | 3401 W Gore Blvd, Lawton, OK 73505 | 2006-07-15 |
| 1730115114 | Heart & Vascular Center Pllc | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-06-25 |
| 1679527030 | Robert F Sweeney | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505 | 2006-05-20 |
| 1518915750 | Vijaya S Velury | Internal Medicine | 3106 Nw Arlington Ave, Lawton, OK 73505-6123 | 2006-05-04 |
| Find all providers in LAWTON | ||||
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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.