Peter Harald Langsjoen, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

F6857 Issued in TX

Practice address

1107 Doctors Dr
Tyler, TX 75701-2124

Phone

(903) 595-3778

Fax

(903) 595-4962

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1639164403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012124",
            "telephone_number": "903-595-3778",
            "fax_number": "903-595-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012124",
            "telephone_number": "903-595-3778",
            "fax_number": "903-595-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSJOEN",
        "first_name": "PETER",
        "middle_name": "HARALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "F6857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060066132",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110369901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "060010531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Langford
• Laura Langham
• Amy Langley, ATC, LAT, CSCS, PES
• Tonya Langley, CSFA
• April Langlinais, RNFA
• Riley Brooke Lankford, M.S. SLP
• Rachael Lapaglia
• Breann Willis Laperriere, RN
• Angelica Maria Larios, M.D., MPH
• Kelsi Laroe

• Cardiovascular Disease Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.