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

Tanner Martin

Individual provider Physician Assistant · NPI 1285452540

Tanner Martin is a Physician Assistant in Lawton, Oklahoma. Qualified in 2025, 1 year ago. Practices with Comanche County Hospital Authority, a 54-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2024
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Practice location Address checks out

110 NW 31st St Ste 201
Lawton, OK 73505-6100
Phone: (580) 585-5549
Fax: (580) 699-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5674 (OK)

Record details

NPI number1285452540
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address8005 Nw Norwick Ave, Lawton, OK 73505-4033

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Comanche County Hospital Authority — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lawton