Unknown Individual – Urology Physician, NPI 1215047865

Unknown Individual is a healthcare provider. based in Lawton, Oklahoma. specializing in Urology Physician. They hold a License No. 27562 (OK). The NPI Number for Unknown Individual is 1215047865

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1215047865
Phone
(580) 531-6463
Address
5606 SW Lee Blvd
Deactivation Date
19 July 2021

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
8123011459
Professional Enrollment ID
I20110104000340
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 5606 SW Lee Blvd

    Suite 204

    Lawton, OK 735059688

    Phone: (580) 531-6463

    Fax: (580) 531-6477

    Type: Location

  • 3414, Northwest Cache Road, Lawton, Comanche County, Oklahoma, 73505, United States

    LAWTON, OK 735053878

    Phone: (580) 771-2008

    Fax: (580) 771-2030

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73505)

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Provider's Procedures

Unknown Individual performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYOK55700Biopsy of prostate gland1212
UROLOGYOK76872Ultrasound of rectum2221
UROLOGYOK81002Urinalysis, manual test11395

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1215047865.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Urology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Lawton, Oklahoma in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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