Active NPI
Mark Allen Lang, CRNA
- Certified Registered Nurse Anesthetist
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN.229173.COA-1
- Practice address
- 667 Eastland Ave SE
Warren, OH 44484-4503 - Phone
- (330) 841-4000
- Fax
- (330) 841-4455
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN.229173.COA-1 | OH | Primary |
Addresses
Primary practice location
667 Eastland Ave SE
Warren, OH 44484-4503
Mailing address
4135 Boardman Canfield Rd
Suite 101
Canfield, OH 44406-9803
Phone (330) 286-5330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8232481 | Other | OH | MEDICARE PTAN |
| P00064161 | Other | OH | MEDICARE RAILROAD |
| 2438339 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 7TH Ave
Chardon, OH 44024-2908
Phone (440) 285-2900
158 W Main Rd
Conneaut, OH 44030-2039
870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141
Hospital & facility affiliations
- University Hospitals Portage Medical Center
- University Hospitals Conneaut Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.229173.COA-1 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Bel-Park Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Safe Anesthesia Geneva LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| Safe Anesthesia Chardon LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ohiohealth Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4135 Boardman Canfield Rd
Ste 101
Canfield, OH 44406
Phone (330) 532-7215
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
150 7th Ave
Chardon, OH 44024
Phone (440) 285-2900
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871
Dept L3652
Columbus, OH 43260
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
Interoperability endpoints
- mlang33188@ehrdirect.uhhospitals.org
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Chardon, OH
- NPI 1740599976
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Geneva, OH
- NPI 1821327636
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1508813528
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ravenna, OH
- NPI 1043641897
-
- Critical Access Hospital
- Conneaut, OH
- NPI 1902996119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1659300119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 BOARDMAN CANFIELD RD",
"address_2": "SUITE 101",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069803",
"telephone_number": "330-286-5330",
"fax_number": "330-286-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 EASTLAND AVE SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444844503",
"telephone_number": "330-841-4000",
"fax_number": "330-841-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN.229173.COA-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8232481",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00064161",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2438339",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.