Stephan Charles Lange, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

025612 Issued in CT

Practice address

1000 Asylum Ave
Suite 3208
Hartford, CT 06105-1770

Phone

(860) 522-7121

Fax

(860) 244-3516

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Orthopedic Associates of Hartford,PC

  • Orthopaedic Surgery Physician
  • Hartford, CT
  • NPI 1972500304
  Medicare reassignment NPD
• Orthopedic Associates of Hartford,PC

  • Durable Medical Equipment & Medical Supplies
  • Enfield, CT
  • NPI 1235922584
  NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1255372728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVE",
            "address_2": "STE 102",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321920",
            "telephone_number": "860-549-8276",
            "fax_number": "860-674-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3208",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-522-7121",
            "fax_number": "860-244-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "STEPHAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "025612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004001442",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Lane-Reticker, MD
• Steven E Lane, MD
• Zachary Elden Lane, DO
• Ryan Andrew Langdon, PA-C
• Miranda Lange, PA-C, RD
• Leena K Langeland, D.M.D.
• Bernard J Langenauer, MD
• Sharon A Langlois, APRN
• Sofia Maria Langou
• Briana Lanier

• Neurological Surgery Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Neurological Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.