NPIMap

Individual provider Active NPI

Ann Marie Langham, DO

  • Family Medicine Physician
  • Sinking Spring, PA
National Provider Identifier
1083608236
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012806 Issued in PA
Practice address
457 Rebers Bridge Rd
Sinking Spring, PA 19608-9616
Phone
(484) 919-1078
Fax
(610) 678-8389
NPI assigned
Sep 2, 2005
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012806 PA Primary

Addresses

Primary practice location

457 Rebers Bridge Rd
Sinking Spring, PA 19608-9616

Mailing address

457 Rebers Bridge Rd
Sinking Spring, PA 19608-9616
Phone (484) 919-1078

Other practice location 1

720 Norman Dr
Lebanon, PA 17042-7495
Phone (717) 639-3230

Other names 1

  • Ann Marie Tanish Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050321000398 PA Practitioner - Family Practice 8224083449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians
Good Samaritan Physician ServicesGroup PAC ID 5496728172, 102 clinicians

Practice addresses (Care Compare)

137 Montgomery Ave
Suite 205
Boyertown, PA 19512-1300
Phone (484) 658-3150

457 Rebers Bridge Rd
Sinking Spring, PA 19608-9616
Phone (484) 919-1078

720 Norman Dr
Wellspan Geriatrics
Lebanon, PA 17042-7495
Phone (717) 639-3230

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Marie Lago, D.O. PC Family Medicine CurrentSince Apr 1, 2008 Accepting new patients
Good Samaritan Physician Services CurrentSince Mar 1, 2024 Accepting new patients
Good Samaritian Physician Services Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Good Samaritan Physician Services Current Accepting new patients
Good Samaritan Physician Services Family Medicine Past Accepting new patients
Phoebe Berks Health Care Center Inc Past Accepting new patients

Locations

720 Norman Dr
Lebanon, PA 17042
Phone (717) 279-6700

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: alangham417512@wellspan.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Phoebe BerksWernersville, PA, CCN 395880 Skilled nursing facility Adp of the SNF Mar 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1083608236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 REBERS BRIDGE RD",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089616",
            "telephone_number": "484-919-1078",
            "fax_number": "610-678-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 REBERS BRIDGE RD",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196089616",
            "telephone_number": "484-919-1078",
            "fax_number": "610-678-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427495",
            "country_code": "US",
            "telephone_number": "717-639-3230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGHAM",
        "first_name": "ANN MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN MARIE",
            "last_name": "TANISH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sinking Spring, PA

Sources for this page

Verify at the official NPI Registry.