PRAIRIE ROSE MEDICAL GROUP, PLLC – NPI #1528938263
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
PRAIRIE ROSE MEDICAL GROUP, PLLC is a provider located in LAWTON, OK. NPPES has assigned the NPI number 1528938263 to PRAIRIE ROSE MEDICAL GROUP, PLLC on November 07, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was last updated on Feb 24, 2026. 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 PRAIRIE ROSE MEDICAL GROUP, PLLC below.
NPI Profile for
PRAIRIE ROSE MEDICAL GROUP, PLLC
(about 7 months ago)
LAWTON, OK 73505-5977 Phone: (405) 501-5254 Fax:
LAWTON, OK 73505-9503 Phone: (405) 501-5254 Fax:
OWNER, PHYSICIAN ASSISTANT
Phone: (405) 501-5254
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.
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
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.