Active NPI
Robert GR Lang, MD Inc PS
Doing business as Olympia Ambulatory Neurosurgery Center
- Ambulatory Surgical Clinic/Center
- Olympia, WA
National Provider Identifier
1316315930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ROBERT GR LANG, MD INC PS
- Doing business as
- Olympia Ambulatory Neurosurgery Center
- Practice address
- 3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065 - Phone
- (360) 491-0459
- Fax
- (360) 491-5370
- NPI assigned
- Sep 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert GR Lang, MD
- Title
- President
- Phone
- (360) 491-0459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065
Mailing address
3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065
Phone (360) 491-0459
Other names 1
- Olympia Ambulatory Neurosurgery Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Tacoma, WA
- NPI 1487239620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442188800000",
"number": "1316315930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 ENSIGN RD NE STE J",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065065",
"telephone_number": "360-491-0459",
"fax_number": "360-491-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 ENSIGN RD NE STE J",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065065",
"telephone_number": "360-491-0459",
"fax_number": "360-491-5370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT GR LANG, MD INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-14",
"status": "A",
"authorized_official_last_name": "LANG",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "GR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-491-0459",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Olympia Ambulatory Neurosurgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.