Individual provider Active NPI

Mark A Lang, M.D.

  • Family Medicine Physician
  • Broadview HTS, OH
National Provider Identifier
1972508232
Registry record updated Jul 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35072067L Issued in OH
Practice address
303 E Royalton Rd
Suite 204
Broadview HTS, OH 44147-2591
Phone
(440) 545-2272
Fax
(440) 545-5645
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35072067L OH Primary

Addresses

Primary practice location

303 E Royalton Rd
Suite 204
Broadview HTS, OH 44147-2591

Mailing address

303 E Royalton Rd
Suite 204
Broadview HTS, OH 44147-2591
Phone (440) 545-2272

Other identifiers 1

IdentifierTypeStateIssuer
2010684MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100203000950 OH Practitioner - Family Practice 5890753834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9417 Broadview Rd
Broadview Heights, OH 44147-2307
Phone (440) 545-2272

Hospital & facility affiliations

  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Lutheran Hospital Hospital, Cleveland, OH, CCN 360087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35072067LOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a. Lang, M.D., LLC Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

9417 Broadview Rd
Broadview Hts, OH 44147
Phone (440) 413-0499

303 E Royalton Rd
Ste 204
Broadview Hts, OH 44147
Phone (440) 545-2272

Interoperability endpoints

  • Direct secure messaging: mlang30818@direct.ccf.org
  • Direct secure messaging: mlang222835@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372982400000",
    "number": "1972508232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ROYALTON RD",
            "address_2": "SUITE 204",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472591",
            "telephone_number": "440-545-2272",
            "fax_number": "440-545-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ROYALTON RD",
            "address_2": "SUITE 204",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472591",
            "telephone_number": "440-545-2272",
            "fax_number": "440-545-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35072067L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010684",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

Verify at the official NPI Registry.