Shannon Ballou (NPI# 1255708012, PAC ID# 1951610815) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255708012 |
| PAC ID by PECOS | 1951610815 |
| Professional Enrollment ID | I20151016000955 |
| Full Name | Shannon Ballou |
| Organization Legal Name | COMANCHE COUNTY HEALTHCARE CORPORATION |
| Address |
3401 W Gore Blvd Lawton OK 73505-6332 |
| Phone Number | 5805107037 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749192433 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370056 | COMANCHE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3401 W Gore Blvd, Lawton, OK 73505-6332 | 5805107037 | COMANCHE COUNTY HEALTHCARE CORPORATION |
| Organization Legal Name | COMANCHE COUNTY HEALTHCARE CORPORATION |
| Physicians | 89 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelia Marie Liming | Nurse Practitioner | Comanche County Healthcare Corporation | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 |
| Christopher S Bartlett | Physician Assistant | Comanche County Healthcare Corporation | 3811 W Gore Blvd, Lawton, OK 73505-6328 |
| Sheryl Denton | Nurse Practitioner | Comanche County Healthcare Corporation | 1102 S Coblake St, Apache, OK 73006-8337 |
| Jennifer K Gilbow | Nurse Practitioner | Comanche County Healthcare Corporation | 110 Nw 31st St, Fl 2, Lawton, OK 73505-6100 |
| Kendra K Stacey | Nurse Practitioner | Comanche County Healthcare Corporation | 823 D St, Snyder, OK 73566-2031 |
| Gregory Joslin | Obstetrics/gynecology | Comanche County Healthcare Corporation | 102 Nw 31st St, Lawton, OK 73505-6100 |
| Kelly Coon | Internal Medicine | Comanche County Healthcare Corporation | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Chao-ling Wu | Hospitalist | Comanche County Healthcare Corporation | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Jacqueline Ann Yarbrough | Nurse Practitioner | Comanche County Healthcare Corporation | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505-6350 |
| Donald Weese | Urology | Comanche County Healthcare Corporation | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505-6350 |
| Street Address |
3401 W GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip | 73505-6332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Murad Y Yunusov | Internal Medicine | Sooner Inpatient Services LLC | 3401 W Gore Blvd, Comanche County Memorial Hospital, Lawton, OK 73505-6332 |
| Tomasz Swierkosz | Cardiovascular Disease (cardiology) | Comanche County Hospital Authority | 3401 W Gore Blvd, Heart and Vascular, Lawton, OK 73505-6332 |
| John A Cox | Pulmonary Disease | Comanche County Hospital Authority | 3401 W Gore Blvd, Heart and Vascular, Lawton, OK 73505-6332 |
| Jeffrey D Dela Cruz | Internal Medicine | Sooner Inpatient Services LLC | 3401 W Gore Blvd, Comanche County Memorial Hospital, Lawton, OK 73505-6332 |
| Vijaya S Velury | Cardiovascular Disease (cardiology) | Comanche County Hospital Authority | 3401 W Gore Blvd, Heart and Vascular, Lawton, OK 73505-6332 |
| Malaya Reyna Deemer | Nurse Practitioner | Comanche County Hospital Authority | 3401 W Gore Blvd, Heart and Vascular, Lawton, OK 73505-6332 |
| Robert F Sweeney | Cardiovascular Disease (cardiology) | Comanche County Hospital Authority | 3401 W Gore Blvd, Heart and Vascular, Lawton, OK 73505-6332 |
| Ousama Moammar | Internal Medicine | Sooner Inpatient Services LLC | 3401 W Gore Blvd, Comanche County Memorial Hospital, Lawton, OK 73505-6332 |
| Srilatha Ayirala | Cardiovascular Disease (cardiology) | Comanche County Hospital Authority | 3401 W Gore Blvd, Heart and Vascular, Lawton, OK 73505-6332 |
| Eugen Ivan | Cardiovascular Disease (cardiology) | Comanche County Hospital Authority | 3401 W Gore Blvd, Heart and Vascular, Lawton, OK 73505-6332 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kylie Danielle Starnes | Nurse Practitioner | Williams Medical Group Practice LLC | 6744 Nw Cache Rd, Lawton, OK 73505-2702 |
| Susan Ann Armour | Nurse Practitioner | Williams Medical Group Practice LLC | 6744 Nw Cache Rd, Lawton, OK 73505-2702 |
| Sameer Zafar | Family Medicine | Williams Medical Group Practice LLC | 6744 Nw Cache Rd, Lawton, OK 73505-2702 |
| James W Toy | Chiropractic | 7007 Nw Cache Rd, Lawton, OK 73505-2707 | |
| Douglas M Smith | Chiropractic | 7007 Nw Cache Rd, Lawton, OK 73505-2707 | |
| Mary P Cupit | Chiropractic | 5525 Nw Cache Rd, Suite 1, Lawton, OK 73505-3300 | |
| Krista J Gordon | Family Medicine | 5366 Nw Cache Rd, Suite 6, Lawton, OK 73505-3353 | |
| Brian K Rich | Interventional Pain Management | 5370 Nw Cache Rd, Suite 4, Lawton, OK 73505-3371 | |
| Jonathan D Barras | Certified Registered Nurse Anesthetist (crna) | 5370 Nw Cache Rd, Suite 4, Lawton, OK 73505-3371 | |
| Michael A Curtis | Optometry | Oklahoma Eye Institute | 5370 Nw Cache Rd, Suite 6, Lawton, OK 73505-3371 |
| Find all physicians in zip 73505 | |||
| City | LAWTON |
| Zip Code | 73505 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAWTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon Ballou.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.