Active NPI
Mark R Langdon, MD
- Body Imaging Physician
- Lancaster, SC
National Provider Identifier
1073528360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- ME7849
- Practice address
- 800 West Meeting Street
Lancaster, SC 29720-2202 - Phone
- (800) 922-0346
- Fax
- (843) 569-8509
- NPI assigned
- Jul 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | ME7849 | SC | Primary |
| Nuclear Radiology Physician | 2085N0904X | ME7849 | SC | |
| Pediatric Radiology Physician | 2085P0229X | ME7849 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | ME7849 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME7849 | SC | |
| Diagnostic Ultrasound Physician | 2085U0001X | ME7849 | SC |
Addresses
Primary practice location
800 West Meeting Street
Lancaster, SC 29720-2202
Mailing address
PO Box 60100
Charleston, SC 29419-0100
Phone (800) 922-0346
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7906995 | Medicaid | NC | |
| 078490 | Medicaid | SC | |
| 2001 | Other | SC | MEDICARE GROUP |
| 300021098 | Other | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME7849 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster Radiological Associates PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Lancaster, SC
- NPI 1497779037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321142400000",
"number": "1073528360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294190100",
"telephone_number": "800-922-0346",
"fax_number": "843-569-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WEST MEETING STREET",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202202",
"telephone_number": "800-922-0346",
"fax_number": "843-569-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGDON",
"first_name": "MARK",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2011-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "SC",
"license": "ME7849",
"primary": true
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "SC",
"license": "ME7849",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "SC",
"license": "ME7849",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "ME7849",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "ME7849",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "SC",
"license": "ME7849",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7906995",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078490",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "2001",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "300021098",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.