NPIMap

Individual provider Active NPI

Sara Marie Lange, DO

  • Obstetrics Physician
  • Dubois, PA
National Provider Identifier
1518329200
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
OS020713 Issued in PA
Practice address
Penn Highlands Life'S Journey 190 West Park Ave.
Suite 9
Dubois, PA 15801-2277
Phone
(814) 371-1900
Fax
(814) 503-8568
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics Physician 207VX0000X OS020713 PA Primary

Addresses

Primary practice location

Penn Highlands Life'S Journey 190 West Park Ave.
Suite 9
Dubois, PA 15801-2277

Mailing address

801 Walnut Ave
Du Bois, PA 15801-2612
Phone (315) 945-3321

Other practice location 1

Geisinger Medical Ctr
100 North Academy Ave
Danville, PA 17822-0001
Phone (570) 271-6211

Other names 1

  • Miss Sara Marie Burgess Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824002464 PA Practitioner - Obstetrics/Gynecology 1658667571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

123 Hospital Ave
Du Bois, PA 15801-1409
Phone (814) 371-6501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Dubois Regional Medical Center Current Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

265 Holiday Inn Rd
Clarion, PA 16214
Phone (814) 297-8848

807 Turnpike Ave
Ste 260
Clearfield, PA 16830
Phone (800) 446-5090

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

123 Hospital Ave
Dubois, PA 15801
Phone (814) 371-1510

271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872

Interoperability endpoints

  • Direct secure messaging: smlange@1285.direct.myezyaccess.com
  • Direct secure messaging: sara.lange.1@6640.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1518329200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WALNUT AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012612",
            "telephone_number": "315-945-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PENN HIGHLANDS LIFE'S JOURNEY 190 WEST PARK AVE.",
            "address_2": "SUITE 9",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "158012277",
            "telephone_number": "814-371-1900",
            "fax_number": "814-503-8568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Geisinger Medical Ctr",
            "address_2": "100 North Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178220001",
            "country_code": "US",
            "telephone_number": "570-271-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2021-03-02",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "OS020713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BURGESS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dubois, PA

Sources for this page

Verify at the official NPI Registry.