Active NPI
Peter H Langsjoen MD PA
- Specialist
- Tyler, TX
National Provider Identifier
1750612180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F6857
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Harald Langsjoen, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103699-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1639164403
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.