Tanner Fred Lang, MD
Individual provider Active NPI Anesthesiology Physician · Fox Point, WI
NPI 1376620575 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1376620575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 49047-020 (WI)
- Practice address
- 7807 N Lake Dr
Fox Point, WI 53217-2911 - Phone
- (262) 347-9495
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Wisconsin School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Association of Hospital Anesthesiologists SC
Practice addresses (Care Compare)
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-4101
2500 E Capital Dr
Appleton, WI 54911-8735
Phone (920) 738-6400
Hospital & facility affiliations
- Thedacare Regional Medical Center - Appleton Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080725000709 | WI | Practitioner - Anesthesiology | 6305919127 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of Hospital Anesthesiologists SC | Anesthesiology | Current |
Accepting new patients |
Locations
2325 N Casaloma Dr
Appleton, WI 54913
Phone (920) 225-8030
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
736 Ford St
Kimberly, WI 54136
130 2nd St
#A107
Neenah, WI 54956
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 49047-020 | WI | Yes |
Addresses
Primary practice location
7807 N Lake Dr
Fox Point, WI 53217-2911
Mailing address
7807 N Lake Dr
Fox Point, WI 53217-2911
Phone (262) 347-9495
Other providers in Fox Point, WI
- Steven Charles Krenzke
- Mohamad Noor Lababidi
- Emily J. Ladd
- Michelle Lafferty
- Lakeshore Family Dental Center Fox Point LLC
- Petrus V Lindeque
- Michelle M Linsmeier
- Adrienne Loukopoulos
- Emily Lubar
- Juliette Martin Thomas
All providers in Fox Point, WI · Anesthesiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.