Active NPI
Kathie J Lang, M.D.
- Family Medicine Physician
- Klamath Falls, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD22164
- Practice address
- 3737 Shasta Way Ste a
Klamath Falls, OR 97603-4982 - Phone
- (541) 883-2337
- Fax
- (541) 883-2504
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD22164 | OR | Primary |
Addresses
Primary practice location
3737 Shasta Way Ste a
Klamath Falls, OR 97603-4982
Mailing address
3737 Shasta Way Ste a
Klamath Falls, OR 97603-4982
Phone (541) 883-2337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco, LLC | Current | Accepting new patients | |
| Advanced Aesthetics and Wellness | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Central Oregon Dermatology, PC | Past | Accepting new patients |
Locations
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
3150 S 6th St
Klamath Falls, OR 97603
Phone (541) 273-5433
3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337
Interoperability endpoints
- advancedaesthetics.kathielang@155325.advancedmd-direct.com
- https://fhir4.healow.com/fhir/r4/BIAFAA
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Klamath Falls, OR
- NPI 1902591134
-
- Clinic/Center
- Bend, OR
- NPI 1336307875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1285682070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 SHASTA WAY STE A",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034982",
"telephone_number": "541-883-2337",
"fax_number": "541-883-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 SHASTA WAY STE A",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034982",
"telephone_number": "541-883-2337",
"fax_number": "541-883-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "KATHIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD22164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.