Individual provider Active NPI

Cameron Elizabeth Walker Lang, MD

  • Pediatrics Physician
  • Pawtucket, RI
National Provider Identifier
1609286459
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD15800 Issued in RI
Practice address
39 East Ave
Pawtucket, RI 02860-4003
Phone
(401) 722-0081
Fax
(401) 312-0318
NPI assigned
May 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD15800 RI Primary

Addresses

Primary practice location

39 East Ave
Pawtucket, RI 02860-4003

Mailing address

260 Macnider Building, CB# 7220
321 S. Columbia St.
Chapel Hill, NC 27599-7220
Phone (919) 966-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230215000429 RI Practitioner - Pediatric Medicine 7517182892 Reassigns benefits to 1 organization
I20230215002985 MA Practitioner - Pediatric Medicine 7517182892 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15800RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Pediatrics CurrentSince Feb 1, 2023 Accepting new patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

152 Emory St
Attleboro, MA 02703
Phone (508) 222-6409

465 S Washington St
Unit 4
North Attleboro, MA 02760
Phone (508) 699-8444

6 Blackstone Valley Pl
Ste 306B
Lincoln, RI 02865
Phone (401) 331-4021

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

Interoperability endpoints

  • Direct secure messaging: clang215936@brownhealth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1609286459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MACNIDER BUILDING, CB# 7220",
            "address_2": "321 S. COLUMBIA ST.",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997220",
            "telephone_number": "919-966-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 EAST AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604003",
            "telephone_number": "401-722-0081",
            "fax_number": "401-312-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "CAMERON",
        "middle_name": "ELIZABETH WALKER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD15800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.