MMG EAR, NOSE AND THROAT CLINIC
NPI 1609315308
Otolaryngology in Lawton, OK

Q: What is Comanche County Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since February 15, 2017CLIA 37D2131655 · Waiver

3201 W GORE BLVD, SUITE 103, LAWTON, OK 73505(580) 250-6555(580) 354-5942 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2020, Apr 24, 2017, Feb 15, 2017 (3 updates tracked since 2017).

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About Mmg Ear, Nose And Throat Clinic NPPES

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

MMG EAR, NOSE AND THROAT CLINIC (NPI 1609315308) is a healthcare organization registered as an otolaryngology in Lawton, Oklahoma and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Brent Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609315308

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameCOMANCHE COUNTY HEALTHCARE CORPORATION

Location Address3201 W GORE BLVD, SUITE 103Lawton, OK 73505-6378

Mailing AddressPo Box 785Lawton, OK 73502-0785 · (580) 357-9984 · Fax (580) 357-3277

Phone(580) 250-6555

Fax(580) 354-5942

Organization SubpartNo

Authorized OfficialBrent SmithCeo · (580) 355-8620

Enumeration DateFebruary 15, 2017

Last NPPES UpdateJune 29, 20203 updates tracked since enumeration

NPPES CertifiedJune 29, 2020

✔ NPI 1609315308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

3201 W GORE BLVD, Lawton, OK 73505

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Other Names 1

Doing Business AsMmg Ear, Nose And Throat Clinic

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 Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mmg Ear, Nose And Throat 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 Mmg Ear, Nose And Throat Clinic, which bills Medicare for the services they deliver. Of these, 12 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

Zachary Berry, M.D.

Physical Medicine and Rehabilitation

NPI 1811155666

3201 W GORE BLVD SUITE 104
Lawton, OK 73505

(580) 250-6659