Individual provider Active NPI

Jean Anne Lang, D.O.

  • Internal Medicine Physician
  • Hartville, OH
National Provider Identifier
1295835395
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-002323 Issued in OH
Practice address
855 W Maple St
Ste 120
Hartville, OH 44632-9668
Phone
(330) 877-6613
Fax
(330) 877-6618
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-002323 OH Primary

Addresses

Primary practice location

855 W Maple St
Ste 120
Hartville, OH 44632-9668

Mailing address

855 W Maple St
Ste 120
Hartville, OH 44632-9668
Phone (330) 877-6613

Other names 1

  • Jean Anne Loiudice Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100225000720 OH Practitioner - Internal Medicine 2466596622

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Medical Services, Inc. CurrentSince Jun 1, 1983 Accepting new patients
Tri-County Medical Services, Inc. CurrentSince Oct 1, 1990 Accepting new patients

Locations

864 W Maple St
Ste B
Hartville, OH 44632
Phone (330) 877-6613

855 W Maple St
Ste 120
Hartville, OH 44632
Phone (330) 587-3148

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295835395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W MAPLE ST",
            "address_2": "STE 120",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329668",
            "telephone_number": "330-877-6613",
            "fax_number": "330-877-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W MAPLE ST",
            "address_2": "STE 120",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329668",
            "telephone_number": "330-877-6613",
            "fax_number": "330-877-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JEAN",
        "middle_name": "ANNE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-002323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "LOIUDICE",
            "middle_name": "ANNE",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartville, OH

Sources for this page

Verify at the official NPI Registry.