Individual provider Active NPI

Scott Thomas Lange, RPA, RRA

  • Radiology Practitioner Assistant
  • Kalamazoo, MI
National Provider Identifier
1114181815
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
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

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.