Active NPI
Kuglitsch Enterprises, Inc
- Urology Physician
- Lawton, OK
National Provider Identifier
1104330943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- KUGLITSCH ENTERPRISES, INC
- Doing business as
- Lawton Urology
- Practice address
- 3414 NW Cache Rd Ste F
Lawton, OK 73505-3878 - Phone
- (580) 771-2008
- Fax
- (817) 771-2030
- NPI assigned
- Nov 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Kuglitsch, MD
- Title
- Owner
- Phone
- (920) 344-5237
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
3414 NW Cache Rd Ste F
Lawton, OK 73505-3878
Mailing address
3414 NW Cache Rd Ste F
Lawton, OK 73505-3878
Phone (580) 771-2008
Other practice location 1
904 SW 38th St
Lawton, OK 73505-7021
Phone (920) 344-5237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OK |
Other names 1
- Lawton Urology
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1104330943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 NW CACHE RD STE F",
"city": "LAWTON",
"state": "OK",
"postal_code": "735053878",
"telephone_number": "580-771-2008",
"fax_number": "580-771-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 NW CACHE RD STE F",
"city": "LAWTON",
"state": "OK",
"postal_code": "735053878",
"telephone_number": "580-771-2008",
"fax_number": "817-771-2030"
}
],
"practiceLocations": [
{
"address_1": "904 SW 38th St",
"address_purpose": "LOCATION",
"city": "Lawton",
"state": "OK",
"postal_code": "735057021",
"country_code": "US",
"telephone_number": "920-344-5237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KUGLITSCH ENTERPRISES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-30",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "KUGLITSCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-344-5237",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lawton Urology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.