MEDICARE: DR. ANTHONY LLOYD ORME MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	12243	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080110352	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4011393	OTHER	OK	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	125308100	OTHER	OK	DOL

General Provider Information

NPI Number	:	1326033259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY LLOYD ORME MD

Provider Business Mailing Address
First Line	:	PO BOX 785
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73502-0785
Country	:	US
Telephone Number	:	580-357-9984
Fax Number	:	580-357-3277

Provider Business Practice Location Address
First Line	:	505 8TH ST
Second Line	:
City	:	ELGIN
State	:	OK
Zip	:	73538
Country	:	US
Telephone Number	:	580-492-6900
Fax Number	:	580-492-6902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	10/07/2010

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