DR. MICHAEL ERVIN KUGLITSCH (NPI# 1215047865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215047865 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ERVIN KUGLITSCH |
| Credential | MD FACS |
| Practice Address |
3414 Nw Cache Rd Ste F Lawton OK 73505-3878 |
| Practice Telephone | 5807712008 |
| Practice Fax Number | 5807712030 |
| Mailing Telephone | 5807712008 |
| Mailing Fax Number | 5807712030 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 27562 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30673100 | 05 | |
| ID | 807438200 | 05 | |
| ID | BC IDAHO | B5892 | 01 |
| MT | BC MONTANA | 000097165 | 01 |
| MT | 0081226 | 05 | |
| WI | WISCONSIN PHYSICIAN SERVI | 208015276 | 01 |
| OK | 200306160A | 05 | |
| WI | WISCONSIN BCBS | 208015276012 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5606 Sw Lee Blvd, Suite 204, Lawton, OK 735059688 | 5805316463 | 5805316477 |
| Street Address |
3414 NW CACHE RD STE F |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-3878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474792 | Lawton General Surgery PC | Surgery | 3414 Nw Cache Rd Ste F, Lawton, OK 73505-3878 | 2020-07-14 |
| 1760997092 | Lawton Urology | Urology | 3414 Nw Cache Rd Ste F, Lawton, OK 73505-3878 | 2017-12-08 |
| 1104330943 | Kuglitsch Enterprises, Inc | Urology | 3414 Nw Cache Rd Ste F, Lawton, OK 73505-3878 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997092 | Lawton Urology | Urology | 3414 Nw Cache Rd Ste F, Lawton, OK 73505-3878 | 2017-12-08 |
| 1104330943 | Kuglitsch Enterprises, Inc | Urology | 3414 Nw Cache Rd Ste F, Lawton, OK 73505-3878 | 2017-11-30 |
| 1508935289 | Robert C Gose | Urology | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505 | 2006-11-07 |
| 1154345619 | Comanche County Healthcare Corporation | Urology | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505 | 2006-07-27 |
| 1497743405 | Scott Lewis Michener | Urology | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338426 | Davis Urology, Pllc | Urology | 13509 N Meridian Ave Ste 6, Oklahoma City, OK 73120-8396 | 2020-08-26 |
| 1073146304 | Roy W Bankhead Md PC | Urology | 5700 N Portland Ave Ste 100, Oklahoma City, OK 73112-1662 | 2020-02-14 |
| 1851877567 | Richard E. Herlihy Md, PC | Urology | 4140 W Memorial Rd Ste 611, Oklahoma City, OK 73120-8300 | 2018-07-16 |
| 1306383849 | Urology Affiliates of Oklahoma LLC | Urology | 5300 N Grand Blvd Ste 200, Oklahoma City, OK 73112-5517 | 2017-01-23 |
| 1285015057 | Caitlin Shepherd | Urology | 722 Nw 28th St, Oklahoma City, OK 73103-1009 | 2015-06-17 |
| 1295174969 | Joseph Fernando Rodriguez IIi | Urology | 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK 73104-5036 | 2013-06-17 |
| 1003159773 | Philip D. Diggdon Sr. | Urology | 3424 E. 65 St, Tulsa, OK 74136 | 2013-04-01 |
| 1811247885 | Melanie Nyeh Ketchandji | Urology | 1145 South Utica Avenue, Suite 202, Tulsa, OK 74104-4022 | 2012-09-17 |
| 1992055990 | Kathryn Griffin Cunningham | Urology | 4140 W Memorial Rd Ste 208, Oklahoma City, OK 73120 | 2012-09-17 |
| 1477847374 | Bhalaajee Meenakshi-sundaram | Urology | 1200 Childrens Ave # 7d, Oklahoma City, OK 73104 | 2011-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.