MR. SCOTT THOMAS LANGE (NPI# 1114181815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114181815 |
| Entity Type | Individual |
| Full Name | MR. SCOTT THOMAS LANGE |
| Credential | RPA, RRA |
| Practice Address |
1535 Gull Rd Ste 200 Kalamazoo MI 49048-1638 |
| Mailing Address |
9745 S Clinton Trl Eaton Rapids MI 48827-8582 |
| Practice Telephone | 2693886350 |
| Mailing Telephone | 5174905690 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C1101X |
Radiologic Technologist Specialization: Cardiovascular-Interventional Technology |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 243U00000X | Radiology Practitioner Assistant | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730620683 | Scott Lange | Specialist/Technologist | 13430 Barons Lake Ln, Cypress, TX 77429-5590 | 2017-03-12 |
| 1104801315 | Scott Alan Lange | Physician Assistant | 1134 N 500 W, Suite 100, Provo, UT 84604-3383 | 2005-12-09 |
| Street Address |
1535 GULL RD STE 200 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134119886 | John Hopkins | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2005-10-25 |
| 1982125746 | Kali Barrow | Nurse Practitioner | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2017-07-03 |
| 1184983769 | David Schaumburg Mosbach | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2012-05-16 |
| 1649403551 | Jeffrey Lee Daniels | Physician Assistant | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2009-08-25 |
| 1578791141 | Yulia Valerievna Volokhina | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2009-06-23 |
| 1801031547 | Matthew Cummings | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2008-12-09 |
| 1619133907 | Crystal Mumford | Physician Assistant | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2008-08-06 |
| 1245410240 | Laurene C. Mann | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2007-11-07 |
| 1801087374 | Brandon Sabah Tominna | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2007-08-08 |
| 1750503181 | Kenneth D Kreitel | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 243U00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiology Practitioner Assistant |
| A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas. |
| Notes: Source: Certification Board of Radiology Practitioner Assistants [7/1/2008: new] Additional Resources: www.cbrpa.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538697628 | Lori Janel Hart | Radiology Practitioner Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2017-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760781926 | Michael Thomas Fishburn | Radiology Practitioner Assistant | 28837 W Kalong Cir, Southfield, MI 48034-5665 | 2011-03-26 |
| 1033434261 | Lynda Bartosh | Radiology Practitioner Assistant | 416 Connable Ave, Petoskey, MI 49770-2212 | 2010-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.