Gladys Elisa Lange, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

H0544 Issued in TX

Practice address

8440 Walnut Hill LN
Suite 350
Dallas, TX 75231-3833

Phone

(214) 373-1773

Fax

(214) 373-1316

NPI assigned

Apr 6, 2006

Last updated

Jun 15, 2018By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Allergy/Immunology

Education

University of Texas Southwestern Medical School at Dallas, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Los Alamos Medical Care Clinic LTDGroup PAC ID 4284525007, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elisa.lange.p1@direct.aircare.nextgenshare.com
• Direct secure messaging: elisa.lange@lamcc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Los Alamos Medical Care Clinic LTD

  • Multi-Specialty Clinic/Center
  • Los Alamos, NM
  • NPI 1801816293

  Allergy & Immunology

  Medicare reassignment Care Compare group NPD
• Allergy Immunology and Respiratory Care PA

  dba AIR Care, PA

  • Allergy & Immunology Physician
  • Plano, TX
  • NPI 1821184177
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1972565554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "address_2": "STE 150",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875445303",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN",
            "address_2": "SUITE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313833",
            "telephone_number": "214-373-1773",
            "fax_number": "214-373-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "GLADYS",
        "middle_name": "ELISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H0544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110323601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Lang
• Melissa Evans Lang, APRN, CNP
• Hollis Langdoc, MS LPC
• Robert William Langdon, MD
• Carol A. Lange, WHCNP
• Julia Lange
• Katelynn Chloe Lange, CRNA
• Kurt Charles Lange, M.D.
• Sophia Katherine Lange, PA-C
• Ginga Langford, MD

• Allergy & Immunology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.