Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wichita Medical Anesthesia LLC

Organization Certified Registered Nurse Anesthetist · NPI 1083222137

Wichita Medical Anesthesia LLC is a Certified Registered Nurse Anesthetist 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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