Individual provider Active NPI

Gerald Joseph Langdon, M.D., F.A.C.P.

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1972638682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11893 Issued in NE
Practice address
236 N 118TH St
Omaha, NE 68154-2217
Phone
(402) 290-1238
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11893 NE Primary

Addresses

Primary practice location

236 N 118TH St
Omaha, NE 68154-2217

Mailing address

236 N 118TH St
Omaha, NE 68154-2217
Phone (402) 290-1238

Other identifiers 1

IdentifierTypeStateIssuer
47053213200MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11893NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Internal Medicine Past Accepting new patients
Creighton University Past Accepting new patients
Creighton University Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972638682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N 118TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542217",
            "telephone_number": "402-290-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N 118TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542217",
            "telephone_number": "402-290-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGDON",
        "first_name": "GERALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "11893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47053213200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.