Individual provider Active NPI

Juergen Lang, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tavernier, FL
National Provider Identifier
1053471102
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
ME164763 Issued in FL
Practice address
91500 Overseas Hwy
Baptist Health Mariners Hospital
Tavernier, FL 33070
Phone
(305) 434-3000
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00030715 WA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X ME164763 FL Primary

Addresses

Primary practice location

91500 Overseas Hwy
Baptist Health Mariners Hospital
Tavernier, FL 33070

Mailing address

91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone (305) 434-3000

Other practice location 1

1221 Highland Avenue
Clarkston, WA 99403
Phone (509) 758-5511

Other practice location 2

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other identifiers 2

IdentifierTypeStateIssuer
001083120MedicaidWA
003793700OtherIDIDAHO MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, GU, VI, FL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20080701000049 WA Practitioner - Emergency Medicine 3375615719 Reassigns benefits to 6 organizations
I20080708000060 OR Practitioner - Emergency Medicine 3375615719 Reassigns benefits to 1 organization
I20180420002137 GU Practitioner - Emergency Medicine 3375615719 Reassigns benefits to 1 organization
I20231109003814 VI Practitioner - Emergency Medicine 3375615719 Reassigns benefits to 1 organization
I20240328001939 FL Practitioner - Emergency Medicine 3375615719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Okanogan County Public Hospital Dist No 4Group PAC ID 9335051150, shared by 4 NPIs, 43 clinicians
Okanogan Douglas County Hospital Dist 1Group PAC ID 7810882792, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

507 Hospital Way
Brewster, WA 98812-0019
Phone (509) 689-2517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.22 of 100Reported as group
Quality
8.06
Improvement activities
40
Cost
90.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME164763FLMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floridian Emergency Specialists LLC Emergency Medicine Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 19, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jun 1, 2025 Accepting new patients
Shi Keys LLC Emergency Medicine CurrentSince Apr 18, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 19, 2023 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Feb 1, 2021 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Apr 9, 2018 Accepting new patients
Floridian Emergency Specialists, LLC Emergency Medicine CurrentSince Sep 9, 2024 Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince May 1, 2025 Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince May 1, 2025 Accepting new patients
Santa Rosa HB Medical Services LLC Emergency Medicine CurrentSince Mar 13, 2024 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Feb 1, 2021 Accepting new patients
Okanogan Douglas County Hospital Dist1 Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

4250 Woodbine Rd
Pace, FL 32571
Phone (850) 626-7761

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

1617 Main St
Oroville, WA 98844
Phone (509) 476-3631

126 S Whitcomb Ave
Tonasket, WA 98855
Phone (509) 486-2151

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1053471102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91500 OVERSEAS HWY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702547",
            "telephone_number": "305-434-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91500 OVERSEAS HWY",
            "address_2": "BAPTIST HEALTH MARINERS HOSPITAL",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "33070",
            "telephone_number": "305-434-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Highland Avenue",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "99403",
            "country_code": "US",
            "telephone_number": "509-758-5511",
            "fax_number": "509-751-9406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANG",
        "first_name": "JUERGEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00030715",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "ME164763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001083120",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO MEDICAID",
            "identifier": "003793700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

Verify at the official NPI Registry.