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MEMORIAL MEDICAL GROUP FAMILY MEDICINE
NPI 1174547632
Family Medicine in Lawton, OK

Active since July 27, 2006
3201 W GORE BLVD, SUITE 105, LAWTON, OK 73505(580) 510-7077(580) 510-7057 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Memorial Medical Group Family Medicine NPPES

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

MEMORIAL MEDICAL GROUP FAMILY MEDICINE (NPI 1174547632) is a healthcare organization registered as a family medicine in Lawton, Oklahoma and active in the NPI registry since July 2006. The organization lists David Blackmon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174547632
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMANCHE COUNTY HEALTHCARE
Location Address3201 W GORE BLVD, SUITE 105Lawton, OK 73505-6378
Mailing AddressPo Box 785Lawton, OK 73502 · (580) 357-9984 · Fax (580) 357-3277
Phone(580) 510-7077
Fax(580) 510-7057
Organization SubpartNo
Authorized OfficialDavid BlackmonCfo · (580) 355-8620
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1174547632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 22720
Definition
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.
3201 W GORE BLVD, Lawton, OK 73505
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Other Names 1

Doing Business AsMemorial Medical Group Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial Medical Group Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

160

Medicare enrollment records show 160 clinicians reassign Medicare billing to Memorial Medical Group Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 67 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner31
Internal Medicine27
Hospitalist14
Family Practice12
General Surgery9
Gastroenterology8
Critical Care (Intensivists)7
Neurology7
18 other specialties45

Nearest to this location (20)

See all 160
Sameh Hanna, M.D.
Pain Management
NPI 1922182336
3201 W GORE BLVD STE 104
Lawton, OK 73505
(580) 250-6659
✔ PECOS✔ Accepts MedicareSame address
Stephanie Morris, NP
Nurse Practitioner
NPI 1245744986
3201 W GORE BLVD
Lawton, OK 73505
(580) 357-2261
✔ PECOS✔ Accepts MedicareSame address
Mark Duncan, DO
Neurosurgery
NPI 1538155122
110 NW 31ST ST FL 2
Lawton, OK 73505
(580) 248-5255
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Goates, DO
General Surgery
NPI 1326409772
110 NW 31ST ST
Lawton, OK 73505
(508) 510-7042
✔ PECOS✔ Accepts Medicare0.1 mi
Kody King, D.O.
Orthopedic Surgery
NPI 1194037713
110 NW 31ST ST FL 2
Lawton, OK 73505
(580) 357-3671
✔ PECOS✔ Accepts Medicare0.1 mi
Clint Kirk, DO
Orthopedic Surgery
NPI 1306882980
110 NW 31ST 2ND FLOOR
Lawton, OK 73505
(580) 357-3671
✔ PECOS✔ Accepts Medicare0.1 mi
Scott Kochenower, D.P.M.
Podiatry
NPI 1174848790
110 NW 31ST ST FL 2
Lawton, OK 73505
(580) 357-3671
✔ PECOS✔ Accepts Medicare0.1 mi
Robert Behrmann, DO
Obstetrics/Gynecology
NPI 1821171695
102 NW 31ST ST
Lawton, OK 73505
(580) 353-6790
✔ PECOS✔ Accepts Medicare0.1 mi
Alyssa Marra, APRN, FNP-C
Nurse Practitioner
NPI 1932805934
102 NW 31ST ST
Lawton, OK 73505
(580) 353-6790
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Nioce, M.D.
Internal Medicine
NPI 1134313463
2716 W GORE BLVD STE C
Lawton, OK 73505
(580) 357-3280
✔ PECOS✔ Accepts Medicare0.1 mi
Zachary Berry, M.D.
Physical Medicine and Rehabilitation
NPI 1811155666
3201 W GORE BLVD SUITE 104
Lawton, OK 73505
(580) 250-6659
✔ PECOS✔ Accepts Medicare0.2 mi
Renato Caballero, MD
Family Practice
NPI 1376709949
3201 W GORE BLVD SUITE 301
Lawton, OK 73505
(580) 248-8225
✔ PECOS✔ Accepts Medicare0.2 mi
Felecia Froe, MD
Urology
NPI 1437109329
3201 W GORE BLVD
Lawton, OK 73505
(803) 575-2261
✔ PECOS✔ Accepts Medicare0.2 mi
Saurabh Lalan, M.D.
Neurology
NPI 1679833917
3201 W GORE BLVD STE 300
Lawton, OK 73505
(580) 585-5448
✔ PECOS✔ Accepts Medicare0.2 mi
Pradeep Kumar Mada, M.D.
Infectious Disease
NPI 1063767861
3201 W GORE BLVD STE 103
Lawton, OK 73505
(580) 250-6555
✔ PECOS✔ Accepts Medicare0.2 mi
Aisha Mohammed, MD
Allergy/Immunology
NPI 1942721543
3201 W GORE BLVD STE 101
Lawton, OK 73505
(580) 357-9090
✔ PECOS✔ Accepts Medicare0.2 mi
Gregory Powell, M.D.
Pain Management
NPI 1780677815
3201 W GORE BLVD STE 104
Lawton, OK 73505
(580) 250-6659
✔ PECOS✔ Accepts Medicare0.2 mi
Srilatha Ayirala, M.D.
Cardiovascular Disease (Cardiology)
NPI 1710174867
3106 NW ARLINGTON AVE
Lawton, OK 73505
(580) 250-4278
✔ PECOS✔ Accepts Medicare0.2 mi
Sukhdeep Kaur, MD
Hospitalist
NPI 1437683166
3401 W GORE BLVD
Lawton, OK 73505
(580) 355-8620
✔ PECOS✔ Accepts Medicare0.3 mi
Aaron Trachte, MD
Cardiac Surgery
NPI 1629063300
3401 W GORE BLVD
Lawton, OK 73505
(580) 357-4339
✔ PECOS✔ Accepts Medicare0.3 mi
See all 160 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Comanche County Healthcare's NPI number?

The NPI number for Comanche County Healthcare is 1174547632. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Memorial Medical Group Family Medicine.

Where is Comanche County Healthcare located?

Comanche County Healthcare is located at 3201 W Gore Blvd Suite 105, Lawton, OK 73505. The listed phone number is (580) 510-7077.

What is Comanche County Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Comanche County Healthcare enrolled in Medicare?

Yes. Comanche County Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Comanche County Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 160 clinicians in 26 Medicare specialties reassign their Medicare billing to Comanche County Healthcare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (31), Internal Medicine (27) and Hospitalist (14). Of these, 2 practice at this address and 67 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Comanche County Healthcare was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.