MMG UROLOGY – NPI #1154345619
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

MMG UROLOGY is an urologist located in LAWTON, OK. NPPES has assigned the NPI number 1154345619 to MMG UROLOGY on July 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MMG UROLOGY” is a dba name, the actual legal business name for this organization is COMANCHE COUNTY HEALTHCARE CORPORATION. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on Jul 16, 2024. 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 MMG UROLOGY below.

NPI Profile for
COMANCHE COUNTY HEALTHCARE CORPORATION

NPI Number
1154345619
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 CORPORATION
Doing Business As (dba): MMG UROLOGY
Primary location
3201 W GORE BLVD
SUITE 201
LAWTON, OK 73505
Phone: (580) 357-2261 Fax: (580) 354-5990
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
Certification Date
Jul 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MMG UROLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOK100810030L
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
208800000X
- Urology (Primary)
OK 19658

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.