MEMORIAL MEDICAL GROUP GASTROENTEROLOGY – NPI #1811917867
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

MEMORIAL MEDICAL GROUP GASTROENTEROLOGY is a provider located in LAWTON, OK. NPPES has assigned the NPI number 1811917867 to MEMORIAL MEDICAL GROUP GASTROENTEROLOGY on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL MEDICAL GROUP GASTROENTEROLOGY” is a dba name, the actual legal business name for this organization is COMANCHE COUNTY HEALTHCARE. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 11 years ago on May 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL MEDICAL GROUP GASTROENTEROLOGY below.

NPI Profile for
COMANCHE COUNTY HEALTHCARE

NPI Number
1811917867
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMANCHE COUNTY HEALTHCARE
Doing Business As (dba): MEMORIAL MEDICAL GROUP GASTROENTEROLOGY
Primary location
3201 W GORE BLVD
SUITE 101
LAWTON, OK 73505
Phone: (580) 357-9984 Fax: (580) 357-3277
Mailing address
PO BOX 785
LAWTON, OK 73502
Phone: (580) 357-9984 Fax: (580) 357-3277
Organization Subpart
No
Authorized Official
BRENT SMITH
CFO
Phone: (580) 355-8620
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 OK 19976

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.