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SURGERY CENTER OF LAWTON PROFESSIONAL LLC
NPI 1164478764
Clinic/Center - Ambulatory Surgical in Lawton, OK

Active since May 25, 2006CLIA 37D0922623 · Waiver
3617 W GORE BLVD, SUITE D, LAWTON, OK 73505(580) 351-0500(580) 351-0500 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgery Center Of Lawton Professional Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGERY CENTER OF LAWTON PROFESSIONAL LLC (NPI 1164478764) is a healthcare organization registered as an ambulatory surgical in Lawton, Oklahoma and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Rita Williams, Administrator, as its authorized official.

NPPES Registry Identity

NPI1164478764
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF LAWTON PROFESSIONAL LLC
Location Address3617 W GORE BLVD, SUITE DLawton, OK 73505-6373
Mailing Address3617 W Gore Blvd, Suite DLawton, OK 73505-6373 · (580) 351-0500 · Fax (580) 351-0500
Phone(580) 351-0500
Fax(580) 351-0500
Organization SubpartNo
Authorized OfficialRita WilliamsAdministrator · (580) 351-0500
Enumeration DateMay 25, 2006
Last NPPES UpdateMarch 27, 2012
✔ NPI 1164478764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OK · 0030
3617 W GORE BLVD, Lawton, OK 73505
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified100522011OK
Medicaid100745750 AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0922623

Surgery Ctr Of Lawton Profssional LLC · Lawton, OK
Active · expires Dec 2, 2026
CLIA Number37D0922623
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorDale B. Smith
Laboratory Phone(580) 351-0500
Laboratory LocationSurgery Ctr Of Lawton Profssional LLC3617 W Gore Blvd Suite D, Lawton, OK 73502
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
42 services21 patients
Incision of eardrum with placement of eardrum tube under general anesthesia 69436
This procedure involves making a small cut in the eardrum to drain fluid and alleviate pressure. A tiny tube is then inserted to keep the hole open and prevent further fluid buildup. General anesthesia is used to ensure patient comfort.
24 services17 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
16 services16 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAWTON SURGICAL AND COSMETIC ARTS
Dentist (Oral and Maxillofacial Surgery)
3617 W GORE BLVD, SUITE B
LAWTON, OK 73505
Comanche County (580) 357-0888
DR. CLOYCE WAYNE LITTLEFIELD JR. DDS
Dentist (Oral and Maxillofacial Surgery)
3617 W GORE BLVD, SUITE B
LAWTON, OK 73505
Comanche County (580) 357-0888
ORAGEN LAWTON ORAL SURGERY PC
Dentist (Oral and Maxillofacial Surgery)
3617 W GORE BLVD
LAWTON, OK 73505
Comanche County (405) 691-0155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgery Center Of Lawton Professional LLC's NPI number?

The NPI number for Surgery Center Of Lawton Professional LLC is 1164478764. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Surgery Center Of Lawton Professional LLC located?

Surgery Center Of Lawton Professional LLC is located at 3617 W Gore Blvd Suite D, Lawton, OK 73505. The listed phone number is (580) 351-0500.

What is Surgery Center Of Lawton Professional LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgery Center Of Lawton Professional LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0922623) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center Of Lawton Professional LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Surgery Center Of Lawton Professional LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surgery Center Of Lawton Professional LLC was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.