Organization Active NPI

Wewoka Regional Medical Center

  • Family Medicine Physician
  • Wewoka, OK
National Provider Identifier
1245303510
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEWOKA REGIONAL MEDICAL CENTER
Practice address
1402 S Indian Rd
Wewoka, OK 74884-9780
Phone
(405) 257-9055
Fax
(405) 257-9951
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony Louis Lenz, M.D.
Title
Physician
Phone
(405) 257-9055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1402 S Indian Rd
Wewoka, OK 74884-9780

Mailing address

1402 S Indian Rd
Wewoka, OK 74884-9780
Phone (405) 257-9055

National Provider Directory

National Provider Directory

Locations

1402 S Indian Rd
Wewoka, OK 74884
Phone (405) 257-9055

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245303510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S INDIAN RD",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748849780",
            "telephone_number": "405-257-9055",
            "fax_number": "405-257-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S INDIAN RD",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748849780",
            "telephone_number": "405-257-9055",
            "fax_number": "405-257-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEWOKA REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-257-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.