Organization Active NPI

Peter H Langsjoen MD PA

  • Specialist
  • Tyler, TX
National Provider Identifier
1750612180
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F6857 Issued in TX
Legal business name
PETER H LANGSJOEN MD PA
Practice address
1107 Doctors Dr
Tyler, TX 75701-2124
Phone
(903) 595-3778
Fax
(903) 595-4962
NPI assigned
Jan 25, 2010
Last updated
Jan 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Dr. Peter Harald Langsjoen, MDNPI 1639164403
Title
Owner
Phone
(903) 595-3778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F6857 TX Primary

Addresses

Primary practice location

1107 Doctors Dr
Tyler, TX 75701-2124

Mailing address

1107 Doctors Dr
Tyler, TX 75701-2124
Phone (903) 595-3778

Other identifiers 1

IdentifierTypeStateIssuer
1103699-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

1107 Doctors Dr
Tyler, TX 75701
Phone (903) 595-3778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1750612180",
    "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": {
        "organization_name": "PETER H LANGSJOEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "LANGSJOEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HARALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-595-3778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F6857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103699-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.