NPIMap

Individual provider Active NPI

Christopher E. Lang, P.A.-C

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1063462067
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1395 Issued in AZ
Practice address
5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone
(602) 493-9361
Fax
(602) 493-9508
NPI assigned
May 11, 2006
Last updated
Aug 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1395 AZ Primary

Addresses

Primary practice location

5620 E Bell Rd
Scottsdale, AZ 85254-5950

Mailing address

P.O. Box 29870
Phoenix, AZ 85038-9870
Phone (602) 772-3805

Other identifiers 2

IdentifierTypeStateIssuer
3Z3913OtherHEALTHNET ID
740177MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000896 AZ Practitioner - Physician Assistant 3779611447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10238 E Hampton Ave
Mesa, AZ 85209-3322

10510 N 92ND St
Scottsdale, AZ 85258-4566

1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1395AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corp CurrentSince Nov 15, 2024 Accepting new patients
Physician Group of Arizona Inc CurrentSince Jan 28, 2020 Accepting new patients
Honorhealth Ambulatory CurrentSince Nov 15, 2024 Accepting new patients
Honorhealth Ambulatory Medical Past Accepting new patients

Locations

10238 E Hampton Ave
Ste 301A
Mesa, AZ 85209
Phone (480) 354-5900

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

2122 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (480) 834-8804

10301 N 92nd St
Ste B201
Scottsdale, AZ 85258
Phone (480) 882-7410

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

16100 N 71st St
Ste 100
Scottsdale, AZ 85254
Phone (480) 656-0016

Organizations & group practices 6

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.

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1063462067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 29870",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389870",
            "telephone_number": "602-772-3805",
            "fax_number": "602-772-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545950",
            "telephone_number": "602-493-9361",
            "fax_number": "602-493-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "CHRISTOPHER",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID",
            "identifier": "3Z3913",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740177",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.