Organization Active NPI

Robert G.R. Lang, M.D., Inc., P.S.

  • Neurological Surgery Physician
  • Olympia, WA
National Provider Identifier
1447329412
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD00019502 Issued in WA
Legal business name
ROBERT G.R. LANG, M.D., INC., P.S.
Practice address
3525 Ensign Rd NE Ste J
Olympia, WA 98506-5065
Phone
(360) 491-0459
Fax
(360) 491-5370
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Robert G.R. Lang, M.D.
Title
Owner
Phone
(360) 491-0459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X MD00019502 WA 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 identifiers 1

IdentifierTypeStateIssuer
7095615MedicaidWA

National Provider Directory

National Provider Directory

Locations

3525 Ensign Rd NE
Ste J
Olympia, WA 98506
Phone (240) 463-4101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1447329412",
    "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 G.R. LANG, M.D., INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-491-0459",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00019502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7095615",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.