Miguel Victor Lanza, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD#227196 Issued in OR

Practice address

1957 Thompson Rd
Coos Bay, OR 97420

Phone

(541) 267-2020

Fax

(541) 267-0123

NPI assigned

Aug 1, 2006

Last updated

Mar 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mlanza134628@secure.stcharleshealthcare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Mike and Friends Pediatrics,P.C.

  • Specialist
  • Coos Bay, OR
  • NPI 1891126363
  Authorized official Same address or phone
• Dr. Mike & Friends Pediatrics PC

  • Pediatrics Physician
  • Coos Bay, OR
  • NPI 1912209883
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1760499115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "97420",
            "telephone_number": "541-267-2020",
            "fax_number": "541-267-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "97420",
            "telephone_number": "541-267-2020",
            "fax_number": "541-267-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZA",
        "first_name": "MIGUEL",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD24551",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD#227196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227196",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Allison Lamar
• Clifford S Lance, PA
• Roger Langlie
• Teresa M Lanier, MD PHD
• Edward L Lanway, D.C.
• Amy Jeannine Larsen, LMT
• Frank Andrus Larson, MD FACS
• Gayle S Larson, CRNA
• Whitney Lynne Latham, DO
• Melissa Jane Ledoux, LPN

• Pediatrics Physician in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.