MEMORIAL MEDICAL GROUP SURGERY – NPI #1558472506
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
MEMORIAL MEDICAL GROUP SURGERY is a surgeon located in LAWTON, OK. NPPES has assigned the NPI number 1558472506 to MEMORIAL MEDICAL GROUP SURGERY on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL MEDICAL GROUP SURGERY” is a dba name, the actual legal business name for this organization is COMANCHE COUNTY HEALTHCARE CORP. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
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 SURGERY below.
NPI Profile for
COMANCHE COUNTY HEALTHCARE CORP
(about 20 years ago)
3RD FLOOR
LAWTON, OK 73505-6100 Phone: (580) 510-7042 Fax: (580) 510-7044
LAWTON, OK 73502-0785 Phone: (580) 357-9984 Fax: (580) 357-3277
CFO
Phone: (580) 355-8620
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 |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
OK | 14399 |
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.