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SOUTHWESTERN NEUROSURGERY PHYSICIANS LLC NPI 1477595924


NPI Information

NPI: 1477595924
Provider Name: SOUTHWESTERN NEUROSURGERY PHYSICIANS LLC

Doing Business As: SOUTHWESTERN NEUROSCIENCES

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
5604 SW LEE BLVD
SUITE 357
LAWTON, OK
ZIP 73505
Phone: (580) 531-4600
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SOUTHWESTERN NEUROSURGERY PHYSICIANS LLC is a neurological surgery in Lawton, OK. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. SOUTHWESTERN NEUROSURGERY PHYSICIANS LLC NPI is 1477595924. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southwestern Neurosciences.

The provider's business location address is:

5604 SW LEE BLVD
SUITE 357
LAWTON, OK
ZIP 73505-681
Phone: (580) 531-4600
Fax: (580) 531-6405

The provider's authorized official is Jon O'shaughnessy .
The authorized official title is Ceo and has the following contact phone number (580) 531-4600.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology26013OKLAHOMANo
2208600000XSurgery25895OKLAHOMANo
3208600000XSurgery25956OKLAHOMANo
4207T00000XNeurological Surgery23774OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B34917MEDICARE UPIN
2200035200AMEDICAIDOKLAHOMA
3800522376MEDICARE ID-TYPE UNSPECIFIED
4200051010AMEDICAIDOKLAHOMA
5200199360AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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