Marsha M Lange, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52278 Issued in MN

Practice address

607 Demers Ave
East Grand Forks, MN 56721-1833

Phone

(218) 773-0357

Fax

(218) 773-2994

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lifecare Medical Center

  • Critical Access Hospital
  • Roseau, MN
  • NPI 1609861095
  Medicare reassignment NPD
• Lifecare Medical Center

  • Rural Health Clinic/Center
  • Warroad, MN
  • NPI 1619724077
  NPD
• Clearwater County Memorial Hospital

  • Critical Access Hospital
  • Bagley, MN
  • NPI 1295859411
  NPD (past)
• Aurora Urgent Care LLC

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1942318308
  NPD (past)
• Carrington Health Center

  • Rural Health Clinic/Center
  • New Rockford, ND
  • NPI 1801811666

  Family Medicine

  NPD (past)
• Northland Family Physicians LLC

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1215990791
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1699793265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-1891",
            "fax_number": "701-587-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 DEMERS AVE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211833",
            "telephone_number": "218-773-0357",
            "fax_number": "218-773-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "MARSHA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "5823",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA STATE MEDICAL LICENSE",
            "identifier": "5823",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Lou Krogstad, FNP-C
• Jennifer Kudrna
• Nancy K Kujawa, LSW LADC
• Rachel Marie Kvasager, ANP-C
• Hunter Lake, PT, DPT
• Makayla M Langei, DDS
• Local Roots Chiropractic PLLC
• Lutheran Social Service of Minnesota
• Renee Louise Mabey, PHD, PT
• Sarah My Trang Mabey

• Family Medicine Physician in East Grand Forks, MN
• Providers in East Grand Forks, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.