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MAIN STREET FAMILY MEDICAL CLINIC
NPI 1457377822
Family Medicine in Altus, OK

Active since July 15, 2006
3000 N MAIN ST, SUITE A, ALTUS, OK 73521(580) 477-4522(580) 477-4727 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Main Street Family Medical Clinic NPPES

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

MAIN STREET FAMILY MEDICAL CLINIC (NPI 1457377822) is a healthcare organization registered as a family medicine in Altus, Oklahoma and active in the NPI registry since July 2006. The organization lists David Blackmon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457377822
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMANCHE COUNTY HEALTHCARE
Location Address3000 N MAIN ST, SUITE AAltus, OK 73521
Mailing AddressPo Box 785Lawton, OK 73502 · (580) 357-9984 · Fax (580) 357-3277
Phone(580) 477-4522
Fax(580) 477-4727
Organization SubpartNo
Authorized OfficialDavid BlackmonCfo · (580) 355-8620
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 29, 2008
✔ NPI 1457377822 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 · 14363
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.
3000 N MAIN ST, Altus, OK 73521
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Other Names 1

Doing Business AsMain Street Family Medical Clinic

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)

Main Street Family Medical Clinic 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 Main Street Family Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice 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
Allissa White, MD
Family Practice
NPI 1043877756
205 S PARK LN
Altus, OK 73521
(580) 379-6700
✔ PECOS✔ Accepts Medicare2.3 mi
Anibal Avila, M.D.
Obstetrics/Gynecology
NPI 1659735827
101 S PARK LN
Altus, OK 73521
(580) 379-6140
✔ PECOS✔ Accepts Medicare2.4 mi
Trenton Mefford, DO
Family Practice
NPI 1982670816
319 E JOSEPHINE AVE
Frederick, OK 73542
(580) 335-7545
✔ PECOS✔ Accepts Medicare26 mi
Brittany Nelms, PMHNP-BC
Nurse Practitioner
NPI 1366279218
1015 HILLCREST DR STE A
Vernon, TX 76384
(940) 217-6720
✔ PECOS✔ Accepts Medicare35 mi
Priyanka Upadrasta, MD
Internal Medicine
NPI 1730822800
1112 NW ST JAMES PL
Lawton, OK 73505
(908) 392-6476
✔ PECOS✔ Accepts Medicare47 mi
Sonia Allouch, MD
Pediatric Medicine
NPI 1013578988
5606 SW LEE BLVD STE 206
Lawton, OK 73505
(580) 531-4875
✔ PECOS50 mi
Thierry Pechap Ayafor
Obstetrics/Gynecology
NPI 1235768763
5602 SW LEE BLVD
Lawton, OK 73505
(580) 531-3802
✔ PECOS✔ Accepts Medicare50 mi
Andrew Stevens, MD
General Surgery
NPI 1598850901
5602 SW LEE BLVD
Lawton, OK 73505
(580) 531-4700
✔ PECOS✔ Accepts Medicare50 mi
Sukhdeep Kaur, MD
Hospitalist
NPI 1437683166
3401 W GORE BLVD
Lawton, OK 73505
(580) 355-8620
✔ PECOS✔ Accepts Medicare51 mi
Aaron Trachte, MD
Cardiac Surgery
NPI 1629063300
3401 W GORE BLVD
Lawton, OK 73505
(580) 357-4339
✔ PECOS✔ Accepts Medicare51 mi
Johnny Duncan, DO
Physical Medicine and Rehabilitation
NPI 1790771095
3201 W GORE BLVD STE 201
Lawton, OK 73505
(805) 250-6659
✔ PECOS✔ Accepts Medicare51 mi
Gregory Powell, M.D.
Pain Management
NPI 1780677815
3201 W GORE BLVD STE 104
Lawton, OK 73505
(580) 250-6659
✔ PECOS✔ Accepts Medicare51 mi
Felecia Froe, MD
Urology
NPI 1437109329
3201 W GORE BLVD
Lawton, OK 73505
(803) 575-2261
✔ PECOS✔ Accepts Medicare51 mi
Saurabh Lalan, M.D.
Neurology
NPI 1679833917
3201 W GORE BLVD STE 300
Lawton, OK 73505
(580) 585-5448
✔ PECOS✔ Accepts Medicare51 mi
Pradeep Kumar Mada, M.D.
Infectious Disease
NPI 1063767861
3201 W GORE BLVD STE 103
Lawton, OK 73505
(580) 250-6555
✔ PECOS✔ Accepts Medicare51 mi
Aisha Mohammed, MD
Allergy/Immunology
NPI 1942721543
3201 W GORE BLVD STE 101
Lawton, OK 73505
(580) 357-9090
✔ PECOS✔ Accepts Medicare51 mi
Christopher Neumann, M.D.
Neurosurgery
NPI 1306051479
3201 W GORE BLVD STE 300
Lawton, OK 73505
(580) 248-5255
✔ PECOS✔ Accepts Medicare51 mi
Srilatha Ayirala, M.D.
Cardiovascular Disease (Cardiology)
NPI 1710174867
3106 NW ARLINGTON AVE
Lawton, OK 73505
(580) 250-4278
✔ PECOS✔ Accepts Medicare51 mi
Kody King, D.O.
Orthopedic Surgery
NPI 1194037713
110 NW 31ST ST FL 2
Lawton, OK 73505
(580) 357-3671
✔ PECOS✔ Accepts Medicare52 mi
Scott Kochenower, D.P.M.
Podiatry
NPI 1174848790
110 NW 31ST ST FL 2
Lawton, OK 73505
(580) 357-3671
✔ PECOS✔ Accepts Medicare52 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 1457377822. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Main Street Family Medical Clinic.

Where is Comanche County Healthcare located?

Comanche County Healthcare is located at 3000 N Main St Suite A, Altus, OK 73521. The listed phone number is (580) 477-4522.

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 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 January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.