Active NPI
Mary Louise Langlois, MD
- Internal Medicine Physician
- Boulder, CO
National Provider Identifier
1447433867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31795
- Practice address
- 2575 Spruce St
Boulder, CO 80302-3806 - Phone
- (303) 449-3594
- Fax
- (303) 449-3112
- NPI assigned
- Dec 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31795 | CO | Primary |
Addresses
Primary practice location
2575 Spruce St
Boulder, CO 80302-3806
Mailing address
2575 Spruce St
Boulder, CO 80302-3806
Phone (303) 449-3594
Other names 1
- Marylou Moyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31795 | CO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1447433867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 SPRUCE ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803023806",
"telephone_number": "303-449-3594",
"fax_number": "303-449-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 SPRUCE ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803023806",
"telephone_number": "303-449-3594",
"fax_number": "303-449-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGLOIS",
"first_name": "MARY",
"middle_name": "LOUISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "31795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARYLOU",
"last_name": "MOYER",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.