John F Lange, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

113738 Issued in MO

Practice address

54 Hospital Dr
Osage Beach, MO 65065-3050

Phone

(573) 348-8100

Fax

(573) 348-8350

NPI assigned

Nov 14, 2006

Last updated

Jul 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Clinton, MO
  • NPI 1306814306
  NPD (past)
• Pegasus Emergency Group Moberly

  • Emergency Medicine Physician
  • Moberly, MO
  • NPI 1144453127
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1477625838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8100",
            "fax_number": "573-348-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "113738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477625838",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Regional Medical Management, Inc. (Lake Regional Medical Group)
• Mark S. Lake, D.D.S.
• Lakeside Obstetrics & Gynecology LLC
• Carlee Lamb
• Katherine Lambirth, PTA
• Lauwanna R Larue, L.M.T.
• Ashlie Lean
• Rhonda L Ledbetter, BA
• Kristen Kay Lee
• Kenneth R. Leimkuehler, CRNA

• Emergency Medicine Physician in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.