Provider Demographics
NPI:1326033259
Name:ORME, ANTHONY LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:LLOYD
Last Name:ORME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 785
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73502-0785
Mailing Address - Country:US
Mailing Address - Phone:580-357-9984
Mailing Address - Fax:580-357-3277
Practice Address - Street 1:505 8TH ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:OK
Practice Address - Zip Code:73538
Practice Address - Country:US
Practice Address - Phone:580-492-6900
Practice Address - Fax:580-492-6902
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK12243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK4011393OtherAETNA
080110352OtherRAILROAD MEDICARE
OK100134050AMedicaid
OK125308100OtherDOL
080110352OtherRAILROAD MEDICARE