Individual provider Active NPI

Nicole Lisa Lang, DO

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1356320063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS0007831 Issued in FL
Practice address
5000 University Dr
ER Department
Miami, FL 33146-2008
Phone
(786) 308-3911
NPI assigned
Jan 11, 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
Emergency Medicine Physician 207P00000X OS0007831 FL Primary

Addresses

Primary practice location

5000 University Dr
ER Department
Miami, FL 33146-2008

Mailing address

2843 S Bayshore Dr
Apt 6a
Miami, FL 33133-6015
Phone (305) 443-0030

Other identifiers 2

IdentifierTypeStateIssuer
258589800MedicaidFL
49822OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040717000231 FL Practitioner - Emergency Medicine 2567441017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0007831FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E R Stat Inc Emergency Medicine CurrentSince May 1, 2004 Accepting new patients
Naples Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Jupiter Emergency Medical Specialist Inc Emergency Medicine Past Accepting new patients
Webster Emergency Physicians Emergency Medicine Past Accepting new patients
Sterling Emergency Physicians of West Boca PA Emergency Medicine Past Accepting new patients
Lawnwood Cardiovascular Surgery LLC Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients

Locations

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

Interoperability endpoints

  • Direct secure messaging: wghnlang@yourcarecommunity.org

Organizations & group practices 7

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356320063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 S BAYSHORE DR",
            "address_2": "APT 6A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336015",
            "telephone_number": "305-443-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 UNIVERSITY DR",
            "address_2": "ER DEPARTMENT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331462008",
            "telephone_number": "786-308-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "NICOLE",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0007831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258589800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49822",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.