MEMORIAL MEDICAL GROUP INTERNAL MEDICINE
NPI 1881614733
Family Medicine in Lawton, OK

NPI Status: Active since July 20, 2006

Contact Information

3201 W GORE BLVD
SUITE 202
LAWTON, OK
ZIP 73505
Phone: (580) 355-6731
Fax: (580) 250-5806

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  • Organization
  • Family Medicine
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About MEMORIAL MEDICAL GROUP INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Memorial Medical Group Internal Medicine, a primary care provider established in Lawton, Oklahoma operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1881614733 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 18140 (OK). The provider is registered as an organization and their NPI record was last updated 13 years ago. Memorial Medical Group Internal Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Memorial Medical Group Internal Medicine. The authorized official of this NPI record is David Blackmon (Cfo)

NPI
1881614733
Provider Legal Name
COMANCHE COUNTY HEALTHCARE
Other Organization Name
MEMORIAL MEDICAL GROUP INTERNAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3201 W GORE BLVD SUITE 202 LAWTON, OK 73505
Location Phone
(580) 355-6731
Location Fax
(580) 250-5806
Mailing Address
PO BOX 785 LAWTON, OK 73502
Mailing Phone
(580) 357-9984
Mailing Fax
(580) 250-5806
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2006
Last Update Date
11-13-2012
Code Navigator

A primary care provider (PCP) like Memorial Medical Group Internal Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Memorial Medical Group Internal Medicine is a medicare supplier with PTAN 20467655 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
18140
License State
OK
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID BLACKMON

Authorized Official Title
CFO
Authorized Official Phone
(580) 355-8620

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20467655
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

Reviews for MEMORIAL MEDICAL GROUP INTERNAL MEDICINE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1881614733
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28161121876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 1 + 2 + 1 + 8 + 7 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1881614733 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558354571DR. EDWARD A LEGAKO MD
Individual
Pediatrics3201 W GORE BLVD SUITE 100
LAWTON, OK 73505
(580) 353-8942
1124011150DR. EDNA C SOLITARIO MD
Individual
Pediatrics3201 W GORE BLVD SUITE 100
LAWTON, OK 73505
(580) 353-8942
1306831458DR. RENATO M CABALLERO MD
Individual
Family Medicine3201 W GORE BLVD STE 301
LAWTON, OK 73505
(580) 248-8225
1730174889DR. ROBERT F HAY MD
Individual
Family Medicine3201 W GORE BLVD STE 101
LAWTON, OK 73505
(580) 248-8225
1174518898DR. ROBERT E JONES MD
Individual
Family Medicine3201 W GORE BLVD STE 202
LAWTON, OK 73505
(580) 248-7872
1497743405 SCOTT LEWIS MICHENER MD
Individual
Urology3201 W GORE BLVD SUITE 201
LAWTON, OK 73505
(580) 357-2261
1013975580DR. STEPHEN KWAME OFORI-KWAKYE MD
Individual
Neurological Surgery3201 W GORE BLVD SUITE 303
LAWTON, OK 73505
(580) 353-6000
1174545834COMANCHE COUNTY HEALTHCARE
Organization
Pediatrics3201 W GORE BLVD SUITE 300
LAWTON, OK 73505
(580) 250-5824
1366592875COMANCHE COUNTY HEALTHCARE
Organization
Radiology (Radiation Oncology)3201 W GORE BLVD
LAWTON, OK 73505
(580) 355-8669
1528109691 LAURA ELIZABETH COLEMAN MD
Individual
Internal Medicine3201 W GORE BLVD SUITE G1
LAWTON, OK 73505
(580) 510-7076
1063631562GREAT PLAINS PEDIATRICS, INC
Organization
Specialist3201 W GORE BLVD SUITE 100
LAWTON, OK 73505
(580) 353-8942
1053530568COMANCHE COUNTY HEALTHCARE
Organization
Internal Medicine3201 W GORE BLVD SUITE 105
LAWTON, OK 73505
(580) 510-7077
1740485614 IDORENYIN LESLIE AIKU MD
Individual
Family Medicine3201 W GORE BLVD SUITE 101
LAWTON, OK 73505
(580) 248-8225
1811155666DR. ZACHARY MICHAEL BERRY M.D.
Individual
Physical Medicine & Rehabilitation3201 W GORE BLVD SUITE 104
LAWTON, OK 73505
(580) 250-6659
1689907222 EDITH ESCALANTE OTR/L
Individual
Occupational Therapist3201 W GORE BLVD
LAWTON, OK 73505
(580) 250-5385
1003149642MR. HEIDI LYN AUSTIN OTR
Individual
Occupational Therapist3201 W GORE BLVD
LAWTON, OK 73505
(580) 250-5385
1558675785NEUROSURGERY CENTER OF SOUTHWEST OKLAHOMA INC
Organization
Neurological Surgery3201 W GORE BLVD
LAWTON, OK 73505
(580) 353-6000
1659647501COMANCHE COUNTY HEALTHCARE CORP
Organization
Family Medicine3201 W GORE BLVD STE 300
LAWTON, OK 73505
(580) 585-5549
1629328786SHERIF SAYED ISMAIL MD PC
Organization
Skilled Nursing Facility3201 W GORE BLVD SUITE 105
LAWTON, OK 73505
(580) 510-7077
1891039517COMANCHE COUNTY HEALTHCARE CORP
Organization
Internal Medicine3201 W GORE BLVD SUITE 202
LAWTON, OK 73505
(580) 355-6731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881614733, enumerated in the NPI registry as an "organization" on July 20, 2006

The provider is located at 3201 W Gore Blvd Suite 202 Lawton, Ok 73505 and the phone number is (580) 355-6731

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on July 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.