Khoa D Le (NPI# 1376500215, PAC ID# 8325073224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1376500215 |
| PAC ID by PECOS | 8325073224 |
| Professional Enrollment ID | I20071108000678 |
| Full Name | Khoa D Le |
| Organization Legal Name | SOUTHWESTERN SURGICAL AFFILIATES, LLC |
| Address |
5602 Sw Lee Blvd Lawton OK 73505-9635 |
| Phone Number | 5805314700 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0941365308 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370097 | SOUTHWESTERN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 5805314700 | SOUTHWESTERN SURGICAL AFFILIATES, LLC |
| 5604 Sw Lee Blvd, Lawton, OK 73505-9663 | SOUTHWESTERN SURGICAL AFFILIATES, LLC | |
| 5606 Sw Lee Blvd, Suite 205, Lawton, OK 73505-9635 | 5805316465 | SOUTHWESTERN SURGICAL AFFILIATES, LLC |
| 1425 Portland Ave, Rochester, NY 14621-3001 | 5859223122 | WESTERN NEW YORK MEDICAL PRACTICE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 90% |
| Organization Legal Name | SOUTHWESTERN SURGICAL AFFILIATES, LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Glomset | Orthopedic Surgery | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Steve O. Egwuonwu | Internal Medicine | Southwestern Surgical Affiliates, LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Mark Wayne Cotton | Family Medicine | Southwestern Surgical Affiliates, LLC | 5606 Sw Lee Blvd, Suite 303, Lawton, OK 73505-9618 |
| Maristela Cibes-silva | Internal Medicine | Southwestern Surgical Affiliates, LLC | 5112 W Gore Blvd, Suite 1, Lawton, OK 73505-6003 |
| Debra A Crawford | Obstetrics/gynecology | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Sinisa M Trbovic | Psychiatry | Southwestern Surgical Affiliates, LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Victoria Mankuburigi Mate-kole | Nurse Practitioner | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Oladipo Igbekoyi | Family Medicine | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Stephen R Davenport | Orthopedic Surgery | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Anson Lukose | Family Medicine | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Street Address |
5602 SW LEE BLVD |
| City | LAWTON |
| State | OK |
| Zip | 73505-9635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Glomset | Orthopedic Surgery | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| David A Hanley | Anesthesiology | Southwestern Physician Services LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Debra A Crawford | Obstetrics/gynecology | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| John J Winter | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Oklahoma, Pllc | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Victoria Mankuburigi Mate-kole | Nurse Practitioner | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Oladipo Igbekoyi | Family Medicine | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Stephen R Davenport | Orthopedic Surgery | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Anson Lukose | Family Medicine | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Linda Baby | Family Medicine | Southwestern Surgical Affiliates, LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Timothy J White | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Oklahoma, Pllc | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| 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 | GENERAL SURGERY |
| City + Specialty | LAWTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Khoa D Le.
| 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.