DR. CHARLES L SORENSON (NPI# 1669412573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669412573 |
| Entity Type | Individual |
| Full Name | DR. CHARLES L SORENSON |
| Credential | M.D. |
| Practice Address |
12 Nw Valley Ridge Drive Lawton OK 73505-9531 |
| Practice Telephone | 5805366353 |
| Practice Fax Number | 5805366873 |
| Mailing Telephone | 5805366353 |
| Mailing Fax Number | 5805366873 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146D00000X | Personal Emergency Response Attendant | 16221 | OK | Emergency Medical Service Providers |
| Y | 207P00000X | Emergency Medicine | 16221 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053502815 | Charles W Sorenson | Urology | 324 10th Ave Ste 178, Slc, UT 84103-2885 | 2007-08-07 |
| Street Address |
12 NW VALLEY RIDGE DRIVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9531 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1033517248 | Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | 3428 Nw Cache Road, Lawton, OK 73505-3846 | 2014-12-22 |
| 1013323815 | Daniel Dorton | Emergency Medicine | 3401 W Gore Blvd # W, Lawton, OK 73505-6332 | 2014-07-01 |
| 1144635392 | Ryan Dale Ford | Emergency Medicine | 4510 Sw Wendy Dr, Lawton, OK 73505-8027 | 2014-06-26 |
| 1801090329 | Wanda I. Diaz | Emergency Medicine | 1902 E Gore Blvd, Lawton, OK 73501-6102 | 2007-06-11 |
| 1104833201 | Manuel Delarosa | Emergency Medicine | 20 Nw 67th St, Suite E, Lawton, OK 73505-5630 | 2006-08-02 |
| 1033772728 | Christopher C. Benson | Emergency Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2019-04-17 |
| 1982167813 | Matthew Thomas Sims | Emergency Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2019-04-08 |
| 1316442890 | Taylor Steven Scott | Emergency Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2018-03-27 |
| 1104329697 | Truepartners Comanche Emergency Specialists Pllc | Emergency Medicine | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2018-03-12 |
| 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.