Individual provider Active NPI

Douglas G Langrock, MD

  • Family Medicine Physician
  • Oak Harbor, WA
National Provider Identifier
1306890199
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00027100 Issued in WA
Practice address
275 SE Cabot Drive
B101
Oak Harbor, WA 98277
Phone
(360) 675-6648
Fax
(360) 679-2487
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00027100 WA Primary

Addresses

Primary practice location

275 SE Cabot Drive
B101
Oak Harbor, WA 98277

Mailing address

275 SE Cabot Drive
B101
Oak Harbor, WA 98277
Phone (360) 675-6648

Other identifiers 1

IdentifierTypeStateIssuer
8118879MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070503000640 WA Practitioner - Family Practice 6204932460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whidbey Island Public Hospital DistrictGroup PAC ID 1658280680, 100 clinicians

Practice addresses (Care Compare)

11245 State Route 525
Clinton, WA 98236-8638
Phone (360) 341-5252

1300 NE Goldie St
Oak Harbor, WA 98277-4832

77 N Main St
Coupeville, WA 98239-9556
Phone (360) 682-2814

Hospital & facility affiliations

  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00027100WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whidbey Island Public Hospital District Current Accepting new patients
WGH Primary Care Associates, P.S. Family Medicine Current Accepting new patients

Locations

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

5486 Harbor Ave
Freeland, WA 98249
Phone (360) 331-5060

275 SE Cabot Dr
Ste B101
Oak Harbor, WA 98277
Phone (360) 675-6648

1300 NE Goldie St
Oak Harbor, WA 98277
Phone (360) 240-4070

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.

Hospital & facility affiliations 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1306890199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DRIVE",
            "address_2": "B101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-675-6648",
            "fax_number": "360-679-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DRIVE",
            "address_2": "B101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-675-6648",
            "fax_number": "360-679-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGROCK",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00027100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8118879",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.