Organization Active NPI

Jeffrey Lang M D P a

  • Plastic Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1467713198
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME19470 Issued in FL
Legal business name
JEFFREY LANG M D P A
Practice address
2780 Cleveland Ave
Suite 806
Fort Myers, FL 33901-5858
Phone
(239) 337-0100
Fax
(239) 337-0102
NPI assigned
May 29, 2012
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Jeffrey Lang
Title
Owner
Phone
(239) 337-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME19470 FL Primary

Addresses

Primary practice location

2780 Cleveland Ave
Suite 806
Fort Myers, FL 33901-5858

Mailing address

2780 Cleveland Ave
Suite 806
Fort Myers, FL 33901-5858
Phone (239) 337-0100

National Provider Directory

National Provider Directory

Locations

2780 Cleveland Ave
Ste 806
Fort Myers, FL 33901
Phone (239) 337-0100

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1467713198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 CLEVELAND AVE",
            "address_2": "SUITE 806",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015858",
            "telephone_number": "239-337-0100",
            "fax_number": "239-337-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 CLEVELAND AVE",
            "address_2": "SUITE 806",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015858",
            "telephone_number": "239-337-0100",
            "fax_number": "239-337-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY LANG M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-337-0100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME19470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.