Individual provider Active NPI

Thomas M Lang, MD

  • Internal Medicine Physician
  • Norton, VA
National Provider Identifier
1114995354
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101250560 Issued in VA
Practice address
100 15TH St NW
Suite a
Norton, VA 24273
Phone
(276) 439-1840
Fax
(276) 439-1845
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-094065 IL
Emergency Medicine Physician 207P00000X 35.099885 OH
Emergency Medicine Physician 207P00000X MD00021559 WA
Internal Medicine Physician 207R00000X 0101250560 VA Primary
Internal Medicine Physician 207R00000X 47911 TN

Addresses

Primary practice location

100 15TH St NW
Suite a
Norton, VA 24273

Mailing address

509 Medtech Pkwy
Suite 100
Johnson City, TN 37604
Phone (423) 952-2122

Other identifiers 5

IdentifierTypeStateIssuer
1487892378OtherILBCBS
8188732MedicaidWA
036094065-7MedicaidIL
036094065-8MedicaidIL
930115946OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040506000365 WA Practitioner - Emergency MedicinePractitioner - Internal Medicine 0840288809 Reassigns benefits to 3 organizations
I20150227001395 OH Practitioner - Internal MedicinePractitioner - Emergency Medicine 0840288809

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-094065ILMDEmergency Medicine Physician
35.099885OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Washington PLLC Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Pacific County Hospital District 2 CurrentSince Aug 29, 2020 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Oct 1, 2019 Accepting new patients
Pacific County Hospital District 2 Family Medicine CurrentSince Aug 29, 2020 Accepting new patients
Okanogan Douglas County Hospital Dist1 Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
SSM Health Care St. Louis Emergency Medicine Past Accepting new patients
Decatur Emergency Medical Services II S C Past Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients
SSM Health Care St. Louis Internal Medicine Past Accepting new patients
Heartland Emergency Specialists, LLC Emergency Medicine Past Accepting new patients
Olympia Emergency Services, PLLC Emergency Medicine PastSince May 12, 2024 Accepting new patients
Prairie Emergency Group, LTD. Past Accepting new patients
Southwest Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Grays Harbor ER Physicians Past Accepting new patients
Bestpractices of Illinois PC Emergency Medicine Past Accepting new patients
Plateau Emergency Physicians Emergency Medicine Past Accepting new patients
Northwest Community Hospital Past Accepting new patients
Columbia Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Black Hills Emergency Physicians Emergency Medicine Past Accepting new patients
Central Illinois Neuroradiology, LTD Past Accepting new patients

Locations

939 Caroline St
#3E
Port Angeles, WA 98362
Phone (360) 565-0599

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: tlang@oswegohealth.hiemail.healtheconnections.org

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1114995354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEDTECH PKWY",
            "address_2": "SUITE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-952-2122",
            "fax_number": "423-952-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 15TH ST NW",
            "address_2": "SUITE A",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "24273",
            "telephone_number": "276-439-1840",
            "fax_number": "276-439-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-094065",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.099885",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00021559",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101250560",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "47911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1487892378",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8188732",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094065-7",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094065-8",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930115946",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.