Individual provider Active NPI

Joanna Lang, PA

  • Physician Assistant
  • Oak Creek, WI
National Provider Identifier
1245526334
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2795 Issued in WI
Practice address
335 E Mahn CT
Oak Creek, WI 53154-2155
Phone
(414) 762-2020
Fax
(414) 762-2024
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2795 WI Primary

Addresses

Primary practice location

335 E Mahn CT
Oak Creek, WI 53154-2155

Mailing address

335 E Mahn CT
Oak Creek, WI 53154-2155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110706000448 WI Practitioner - Physician Assistant 3476731894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Marquette University School of Dentistry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Nephrology Associates SCGroup PAC ID 8527045236, 30 clinicians

Practice addresses (Care Compare)

3120 S 27TH St
Milwaukee, WI 53215-4338
Phone (414) 762-2020

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 259-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Nephrology Associates, S.C. CurrentSince Jun 27, 2011 Accepting new patients

Locations

3120 S 27th St
Uppr
Milwaukee, WI 53215

7793 W Appleton Ave
Milwaukee, WI 53222
Phone (414) 393-9810

335 E Mahn Ct
Oak Creek, WI 53154
Phone (414) 762-2020

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1245526334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E MAHN CT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E MAHN CT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542155",
            "telephone_number": "414-762-2020",
            "fax_number": "414-762-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JOANNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.