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IVANKA A. VASSILEVA, M.D., P.C.
NPI 1245428630
Family Medicine in Lawton, OK

Active since October 10, 2007CLIA 37D1094387 · Waiver
4411 W GORE BLVD, SUITE B-10, LAWTON, OK 73505(580) 354-9600(580) 354-9621 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivanka A. Vassileva, M.d., P.c. NPPES

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

IVANKA A. VASSILEVA, M.D., P.C. (NPI 1245428630) is a healthcare organization registered as a family medicine in Lawton, Oklahoma and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Ivanka A. Vassileva, Owner, as its authorized official.

NPPES Registry Identity

NPI1245428630
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIVANKA A. VASSILEVA, M.D., P.C.
Location Address4411 W GORE BLVD, SUITE B-10Lawton, OK 73505-5977
Mailing Address4411 W Gore Blvd, Suite B-10Lawton, OK 73505-5977 · (580) 354-9600 · Fax (580) 354-9621
Phone(580) 354-9600
Fax(580) 354-9621
Organization SubpartNo
Authorized OfficialIvanka A. VassilevaOwner · (580) 354-9600
Enumeration DateOctober 10, 2007
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1245428630 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 · 22970
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.
4411 W GORE BLVD, Lawton, OK 73505
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Other Identifiers 1

Medicare PIN300522163OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 37D1094387

Ivanka A Vassileva, MD · Lawton, OK
Active · expires Jan 15, 2027
CLIA Number37D1094387
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorIvanka A. Vassileva, MD
Laboratory Phone(580) 354-9600
Laboratory LocationIvanka A Vassileva, MD4411 W Gore Blvd, Suite B-10, Lawton, OK 73505
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MS. NIINA IRENE TUCKER
Behavior Analyst
4411 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 695-5596
MS. NABILA HASSAN EL ZIND M.D.
Specialist
4411 W GORE BLVD, SUITE B4
LAWTON, OK 73505
Comanche County (580) 351-2400
COMANCHE COUNTY HEALTHCARE
Clinic/Center
4411 W GORE BLVD, SUITE A2
LAWTON, OK 73505
Comanche County (580) 355-0575
R. BRENT SMITH, M.D., INC.
Family Medicine
4411 W GORE BLVD, STE. B-5
LAWTON, OK 73505
Comanche County (580) 357-0493
USHA CHANDRA MD
Family Medicine
4411 W GORE BLVD, SUITE A2
LAWTON, OK 73505
Comanche County (580) 355-0575
JOHN S MUSILLA DO
Family Medicine
4411 W GORE BLVD, SUITE A2
LAWTON, OK 73505
Comanche County (580) 355-0575
MS. MAROLYN JEAN PEARSON PA-C
Physician Assistant (Medical)
4411 W GORE BLVD, SUITE A2
LAWTON, OK 73505
Comanche County (580) 355-0575
JAROSLAW K PASZKOWIAK MD
Family Medicine
4411 W GORE BLVD, STE B1
LAWTON, OK 73505
Comanche County (580) 248-8000

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 Ivanka A. Vassileva, M.D., P.C.'s NPI number?

The NPI number for Ivanka A. Vassileva, M.D., P.C. is 1245428630. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Ivanka A. Vassileva, M.D., P.C. located?

Ivanka A. Vassileva, M.D., P.C. is located at 4411 W Gore Blvd Suite B-10, Lawton, OK 73505. The listed phone number is (580) 354-9600.

What is Ivanka A. Vassileva, M.D., P.C.'s specialty?

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

Does Ivanka A. Vassileva, M.D., P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1094387) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ivanka A. Vassileva, M.D., P.C. 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 list Ivanka A. Vassileva, M.D., P.C. 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 Ivanka A. Vassileva, M.D., P.C. was last updated on February 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.