Active NPI
Scott Thomas Lange, RPA, RRA
- Radiology Practitioner Assistant
- Kalamazoo, MI
National Provider Identifier
1114181815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- Practice address
- 1535 Gull Rd Ste 200
Kalamazoo, MI 49048-1638 - Phone
- (269) 388-6350
- NPI assigned
- Jul 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular-Interventional Technology Radiologic Technologist | 2471C1101X | |||
| Radiology Practitioner Assistant | 243U00000X | Primary |
Addresses
Primary practice location
1535 Gull Rd Ste 200
Kalamazoo, MI 49048-1638
Mailing address
9745 S Clinton TRL
Eaton Rapids, MI 48827-8582
Phone (517) 490-5690
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1114181815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9745 S CLINTON TRL",
"city": "EATON RAPIDS",
"state": "MI",
"postal_code": "488278582",
"telephone_number": "517-490-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 GULL RD STE 200",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481638",
"telephone_number": "269-388-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "SCOTT",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "RPA, RRA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2471C1101X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
"state": null,
"license": null,
"primary": false
},
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.