Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Premise Health of Oklahoma Medical, PC

Organization Family Medicine Physician · NPI 1841360336

Premise Health of Oklahoma Medical, PC provides Family Medicine Physician services in Lawton, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

901 SW Goodyear Blvd
Lawton, OK 73505-9755
Phone: (580) 510-6361
Fax: (580) 531-5779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1841360336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Leizman — President · (216) 479-9063
Other names Goodyear Family Medical Center; Goodyear Family Medical Center
NPI enumeratedNovember 9, 2006
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address5500 Maryland Way Ste 120, Brentwood, TN 37027-4993

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