Manju A Thankachan (NPI# 1093260911, PAC ID# 3779862149) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1093260911 |
| PAC ID by PECOS | 3779862149 |
| Professional Enrollment ID | I20161108001764 |
| Full Name | Manju A Thankachan |
| Organization Legal Name | SOUTHWEST ANESTHESIA - SERVICE OF COMANCHE COUNTY MEMORIAL HOSPITAL |
| Address |
3401 Nw Gore Blvd Lawton OK 73505-6332 |
| Phone Number | 5803558620 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6901985043 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370056 | COMANCHE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3401 Nw Gore Blvd, Lawton, OK 73505-6332 | 5803558620 | SOUTHWEST ANESTHESIA - SERVICE OF COMANCHE COUNTY MEMORIAL HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | |
| MIPS_EC_430_overall | Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy | 100% |
| Organization Legal Name | SOUTHWEST ANESTHESIA - SERVICE OF COMANCHE COUNTY MEMORIAL HOSPITAL |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byron L Eyre | Anesthesiology | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Oksana I Martsinkevich | Anesthesiology | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Christine D Harbert | Certified Registered Nurse Anesthetist (crna) | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Dwayne A Maultsby | Anesthesiology | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Roger Lee Hobgood | Anesthesiology | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Vickey L Simmons | Certified Registered Nurse Anesthetist (crna) | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Kathleen Marie Feeley | Certified Registered Nurse Anesthetist (crna) | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Kenneth D Priest | Anesthesiology | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Carolyn Ann Wainscott | Certified Registered Nurse Anesthetist (crna) | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Haskell Trace Palmer | Certified Registered Nurse Anesthetist (crna) | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Street Address |
3401 NW GORE BLVD |
| City | LAWTON |
| State | OK |
| Zip | 73505-6332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Coon | Internal Medicine | Comanche County Healthcare Corporation | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Byron L Eyre | Anesthesiology | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Oksana I Martsinkevich | Anesthesiology | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Justin M Magalassi | Emergency Medicine | Truepartners Comanche Emergency Specialists Pllc | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Christine D Harbert | Certified Registered Nurse Anesthetist (crna) | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Dwayne A Maultsby | Anesthesiology | Southwest Anesthesia - Service of Comanche County Memorial Hospital | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Robert E Suter Sr. | Emergency Medicine | Truepartners Comanche Emergency Specialists Pllc | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Chao-ling Wu | Hospitalist | Comanche County Healthcare Corporation | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| Kevin K Murray | Diagnostic Radiology | Comanche County Hospital Authority Southwest Radiology | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
| David W Behm | Emergency Medicine | Truepartners Comanche Emergency Specialists Pllc | 3401 Nw Gore Blvd, 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 | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LAWTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Manju A Thankachan.
| 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.