Active NPI
Jean Anne Lang, D.O.
- Internal Medicine Physician
- Hartville, OH
National Provider Identifier
1295835395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34-002323
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100225000720 | OH | Practitioner - Internal Medicine | 2466596622 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Medical Services, Inc. | Current | Accepting new patients | |
| Tri-County Medical Services, Inc. | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- Hartville, OH
- NPI 1053411173
-
- Family Medicine Physician
- Hartville, OH
- NPI 1467637421
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.