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

Wichita Medical Anesthesia LLC

Organization Certified Registered Nurse Anesthetist · NPI 1083222137

Wichita Medical Anesthesia LLC provides Certified Registered Nurse Anesthetist services in Lawton, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3617 W Gore Blvd Ste C
Lawton, OK 73505-6373
Phone: (580) 351-0500
Fax: (580) 351-0564
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1083222137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Starla Ross — Administrator · (580) 351-0500
NPI enumeratedJuly 15, 2020
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address3617 W Gore Blvd Ste C, Lawton, OK 73505-6373

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