ABOLGHASEM REZAEI MD PC
FAMILY MEDICINE & URGENT CARE · Family Medicine

Address: 4121 W Gore Blvd, Lawton, OK 73505-6336

ABOLGHASEM REZAEI MD PC (NPI# 1366538183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366538183
Entity Type Organization
Organization Name ABOLGHASEM REZAEI MD PC
Other Organization Name FAMILY MEDICINE & URGENT CARE (Doing Business As Name)
Practice Address 4121 W Gore Blvd
Lawton
OK 73505-6336
Practice Telephone 5806995511
Practice Fax Number 5806995519
Mailing Address 4121 W Gore Blvd
Lawton
OK 73505-6336
Mailing Telephone 5806995511
Mailing Fax Number 5809955196
Certification Date 2021-03-27
Enumeration Date 2006-10-05
Last Update Date 2021-03-27
Authorized Official Telephone 5806995511
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 207Q00000X Family Medicine 193400000X SINGLE SPECIALTY GROUP 23655 OK Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Family Medicine & Urgent Care Doing Business As Name
FAMILY MEDICINE CLINIC AND MINOR EMERGENCY CARE Doing Business As Name

Office Location

Street Address 4121 W GORE BLVD
City LAWTON
State OK
Zip Code 73505-6336

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396032348 Dana Hilbert Speech-Language Pathologist 4121 W Gore Blvd, Lawton, OK 73505-6336 2011-06-28
1811950942 Abolghasem Marco Rezaei Family Medicine 4121 W Gore Blvd, Lawton, OK 73505-6336 2006-04-10
1235560012 Erica Bryant Contractor 4121 W Gore Blvd, Lawton, OK 73505-6336 2013-12-04
1366712416 Chelsea K.dawn Wood Occupational Therapy Assistant 4121 W Gore Blvd, Lawton, OK 73505-6336 2012-01-06
1376834895 Katherine Jean Goodman Physical Therapist - Pediatrics 4121 W Gore Blvd, Lawton, OK 73505-6336 2011-05-02
1114290715 Kristen Renee Arnold Speech-Language Pathologist 4121 W Gore Blvd, Lawton, OK 73505-6336 2012-02-14
1164844825 Abby Brewer Speech-Language Pathologist 4121 W Gore Blvd, Lawton, OK 73505-6336 2014-01-15
1245545458 Gore Therapy Center, P.C. Clinic/Center - Hearing and Speech 4121 W Gore Blvd, Lawton, OK 73505-6336 2010-08-11
1467725952 Ann Elizabeth Angiel Physical Therapist 4121 W Gore Blvd, Lawton, OK 73505-6336 2012-02-15
1639548647 Ranikki H. Brown Counselor - Professional 4121 W Gore Blvd, Lawton, OK 73505-6336 2015-09-20
Find all in the same location

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1427448760 Stephanie Foxx Contractor 715 Nw 36th Street, Lawton, OK 73505 2015-01-26
1629523436 Sebrina Sheppard Case Manager/Care Coordinator 3907 Sw Parkridge Blvd., Lawton, OK 73505 2016-08-22
1518343201 Lasonia Rogers · Lasonia Renee Rogers Counselor - Mental Health 2513 Nw 38th Pl, Lawton, OK 73505 2015-08-04
1376913590 David Lee Atauvich Registered Nurse - Emergency 1515 Lawrie Rd, Lawton, OK 73505 2015-09-30
1912425539 Heather Shea Morefield Case Manager/Care Coordinator 2712 Sw H Ave, Lawton, OK 73505 2017-09-04
1225685480 Healthstat Onsite Clinic Goodyear Vision Center Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine 1 Goodyear Blvd, Lawton, OK 73505 2019-08-22
1295383990 Akeemia Lorene Holder Case Manager/Care Coordinator Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 2019-08-27
1699117796 Cordaris Onassis Butler Community/Behavioral Health 2800 West Gore Blvd, Lawton, OK 73505 2013-07-18
1841797362 Adeshola T Fatuyi Case Manager/Care Coordinator 7301 Sw Lee 635, Lawton, OK 73505 2018-04-11
1134744006 Angela Janell Smith Case Manager/Care Coordinator 4904 Nw Smith Ave, Lawton, OK 73505 2020-06-16
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871163006 Oladipo Igbekoyi Md Pllc Family Medicine 522 Nw Spring Hollow Ln, Lawton, OK 73505-9667 2021-06-29
1629604376 Comanche County Healthcare Corporation · Mmg Occupational Medicine - Ccmh Family Medicine 3201 W Gore Blvd Ste G1, Lawton, OK 73505-6308 2020-03-13
1255804316 Isabelle Zlatnik, Aprn-Cnp, Pllc Family Medicine 4411 W Gore Blvd Ste B1, Lawton, OK 73505-5977 2019-01-10
1578008827 Acellerated Interventional Orthopedics Family Medicine 5370 Nw Cache Rd Ste 4, Lawton, OK 73505-3371 2016-12-22
1619327954 Colin Mychak Family Medicine 3201 W Gore Blvd Ste 104, Lawton, OK 73505-6350 2016-06-17
1205283678 Toni Griffin Family Medicine 3428 Nw Cache Rd, Lawton, OK 73505-3846 2016-05-16
1760838445 Samms LLC · Mercy Urgent Care and Mental Health Clinic Family Medicine 1222 Nw Cache Rd, Lawton, OK 73507-4036 2016-05-11
1164804837 Xpress Wellness LLC Family Medicine 6744 Nw Cashe Road, Lawton, OK 73505 2015-06-18
1225416720 Anson Lukose Family Medicine 5606 Sw Lee Blvd Ste 304, Lawton, OK 73505-9618 2015-05-15
1275911885 Ilona Yurfeld Family Medicine 3201 W Gore Blvd Ste 301, Lawton, OK 73505 2015-05-14
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.