Douglas Menz, D.O. P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

3408 Issued in OK

Legal business name

DOUGLAS MENZ, D.O. P.C.

Doing business as

Lake Pointe Medical Center

Practice address

20912 SE 29TH St
Harrah, OK 73045-6439

Phone

(405) 391-2970

Fax

(405) 391-2972

NPI assigned

Aug 6, 2007

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Douglas Menz, D.O.NPI 1518977628

Title

Physician/Owner

Phone

(405) 391-2970

Specialties & licenses 1

Addresses

Other names 1

• Lake Pointe Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Douglas Menz, D.O.

  • Family Medicine Physician
  • Harrah, OK
  • NPI 1518977628
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1992996789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20912 SE 29TH ST",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730456439",
            "telephone_number": "405-391-2970",
            "fax_number": "405-391-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20912 SE 29TH ST",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730456439",
            "telephone_number": "405-391-2970",
            "fax_number": "405-391-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS MENZ, D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "MENZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-391-2970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "3408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Pointe Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Rene Coffman, OTR
• Raymond Neale Coy Jr., D.PH.
• David D Dewitt, NURSE PRACTITIONER
• DHP Centers Harrah LLC
• Katie Dickey, PA-C
• Ceferino Dumanas Jr.
• Dynamic Health Clinic (Harrah Chiropractic)
• Eric D Kyrk DDS PC (Harrah Family Dentistry)
• Kristi Michelle Evans X
• Stephen Wade Ford, D.PH.

• Primary Care Clinic/Center in Harrah, OK
• Providers in Harrah, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.