Organization Active NPI

Thomas C Lenzmeier MD, PC

Doing business as Lenzmeier Family Medicine

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1518278993
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25528 Issued in AZ
Legal business name
THOMAS C LENZMEIER MD, PC
Doing business as
Lenzmeier Family Medicine
Practice address
20100 N 51St Ave Ste F630
Glendale, AZ 85308-5093
Phone
(623) 376-8000
Fax
(623) 376-8040
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Thomas C Lenzmeier, MDNPI 1932120441
Title
President
Phone
(623) 376-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25528 AZ Primary

Addresses

Primary practice location

20100 N 51St Ave Ste F630
Glendale, AZ 85308-5093

Mailing address

20100 N 51St Ave Ste F630
Glendale, AZ 85308-5093
Phone (623) 376-8000

Other names 1

  • Lenzmeier Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100927000347 AZ Part B Supplier - Clinic/Group Practice 2668598749 Receives reassigned benefits from 4 practitioners
Practice locations: Glendale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2008214Lenzmeier Family Medicine20100 N 51St Ave, Ste F630, Glendale, AZ 85308Certificate of waiverJun 6, 2028

National Provider Directory

National Provider Directory

Locations

20100 N 51st Ave
Ste F630
Glendale, AZ 85308
Phone (623) 376-8000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1518278993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE STE F630",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085093",
            "telephone_number": "623-376-8000",
            "fax_number": "623-376-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE STE F630",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085093",
            "telephone_number": "623-376-8000",
            "fax_number": "623-376-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C LENZMEIER MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "LENZMEIER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-376-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "25528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenzmeier Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.