Len B Lastinger Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101-031905 Issued in VA

Practice address

199 Hospital Dr
Suite 5
Galax, VA 24333-2454

Phone

(276) 236-6136

Fax

(276) 236-2536

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1942284179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 1ST AVE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332019",
            "telephone_number": "540-236-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 HOSPITAL DR",
            "address_2": "SUITE 5",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332454",
            "telephone_number": "276-236-6136",
            "fax_number": "276-236-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTINGER",
        "first_name": "LEN",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101-031905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005816700",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006092870",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010026466",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Diane Kurstedt, PA-C
• Taylor Lach
• Angelique Jeanine Lam Slate, L.P.C.
• Sherry Lynn Lang, LCSW
• Eugenia Maria Alvarado Larrowe, DDS
• Linda T Lastinger, MD
• Allen M Laws, MD
• Lynn Nathan Levesque, OCCUPATIONAL THERAPI
• Paul Conrad Liebrecht, MD
• Lincare Inc.

• Internal Medicine Physician in Galax, VA
• Providers in Galax, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.