Dr. Mike & Friends Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DR. MIKE & FRIENDS PEDIATRICS PC

Practice address

1925 Thompson Rd
Coos Bay, OR 97420-2040

Phone

(541) 267-2020

Fax

(541) 267-0123

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael V Lanza, MD

Title

Owner

Phone

(541) 267-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Miguel Victor Lanza, MD

  • Pediatrics Physician
  • Coos Bay, OR
  • NPI 1760499115
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1912209883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202040",
            "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": "1925 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202040",
            "telephone_number": "541-267-2020",
            "fax_number": "541-267-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MIKE & FRIENDS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-267-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227196",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Donato, MS, MFT, LPC
• Jesse Allen Dorfmeister, FNP
• Lina Dorfmeister, CRNA
• Erin Lynn Dozhier, QMHP-R
• Dr. King Scope Clinic, LLC
• Dr. Mike and Friends Pediatrics,P.C.
• Ginger M Drake
• Patricia K Dudas, CFNP
• Audrey M Duke, FNP
• Stephanie Marie Dulian, CRNA

• 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 3, 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.