Mark a. Lang, M.D., LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35072067 Issued in OH

Legal business name

MARK A. LANG, M.D., LLC

Practice address

303 E Royalton Rd
Suite 204
Broadview Heights, OH 44147-2591

Phone

(440) 545-2272

Fax

(440) 545-5645

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mark Andrew Lang, M.D.NPI 1972508232

Title

Sole Member

Phone

(440) 545-2272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Lang, M.D.

  • Family Medicine Physician
  • Broadview HTS, OH
  • NPI 1972508232
  Medicare reassignment NPD Authorized official
• Raja Shaheen, C.N.M.

  • Family Nurse Practitioner
  • Cleveland, OH
  • NPI 1275622367
  Medicare reassignment NPD
• Latina Brooks, CNP, PHD

  • Family Nurse Practitioner
  • Warrensville Heights, OH
  • NPI 1467593525
  NPD (past)
• Kelli Suzanne Buckner, DO

  • Family Medicine Physician
  • Cleveland, OH
  • NPI 1417269622
  NPD (past)
• Kimberly Tenita Clark, CNP

  • Nurse Practitioner
  • Berea, OH
  • NPI 1578752267
  NPD (past)
• Matthew Minarik, PA-C

  • Physician Assistant
  • Broadview Heights, OH
  • NPI 1003245341
  NPD (past)
• Firouz Daneshgari, MD

  • Urology Physician
  • Cottonwood, AZ
  • NPI 1689637597
  NPD (past)

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1528301488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470803",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441470803",
            "telephone_number": "440-545-2272",
            "fax_number": "440-545-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ROYALTON RD",
            "address_2": "SUITE 204",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472591",
            "telephone_number": "440-545-2272",
            "fax_number": "440-545-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. LANG, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "440-545-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35072067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hui-Jin Lee, D.D.S., M.S.D.
• Sandy Wiley Loflin, LISW
• Julie Majcher, PT, DPT
• Majestic Care of Broadview Heights LLC
• Joseph Marek Sr., RPH CGP
• Jean Marie Martello
• Paul Martin, DO
• Marymount Primary Care Services, Inc.
• Alisha Matt, COTA/L
• Matthew Stasek DC LLC

• Family Medicine Physician in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.