Edwin L Delange, D.O. PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ED008382 Issued in MI

Practice address

3273 Davison Rd
Ste 2
Lapeer, MI 48446-2902

Phone

(810) 667-8840

Fax

(810) 667-8846

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Family Practice

Education

College of Physicians and Surgeons (Iowa), 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edwin.delange.1@2472.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2472/brand/1/csg/1/fhir/r4

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.

• Edwin L Delange, DO PC

  • Primary Care Clinic/Center
  • Lapeer, MI
  • NPI 1821394297
  Medicare reassignment NPD
• McLaren Medical Group

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1073650750
  NPD (past)

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

• McLaren Lapeer Region

  dba McLaren HealthCare Corporation

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1073510723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 BALDWIN RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469776",
            "telephone_number": "810-667-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 DAVISON RD",
            "address_2": "STE 2",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462902",
            "telephone_number": "810-667-8840",
            "fax_number": "810-667-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANGE",
        "first_name": "EDWIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.  PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "ED008382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "30-0010621",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "5440014",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Davis, MA CCC-A
• Terrence Davis Jr.
• Daysailor Counseling and Wellness LLC
• Katarina Rae Dean, CNM
• Zondra Elizabeth Dejesus
• Megan Elizabeth Delay
• Brooklynn Marie Delong
• Jeffrey Delongchamp, PA
• Samantha Delreal
• Jessica Demoines

• Family Medicine Physician in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.