Organization Active NPI

Kuglitsch Enterprises, Inc

  • Urology Physician
  • Lawton, OK
National Provider Identifier
1104330943
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PENDINGMedicaidOK

Other names 1

  • Lawton Urology Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.