MR. ROBERT RANDALL LANG (NPI# 1134452402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134452402 |
| Entity Type | Individual |
| Full Name | MR. ROBERT RANDALL LANG |
| Credential | PA-C |
| Practice Address |
424 Yellowstone Ave Ste 120 Cody WY 82414 |
| Mailing Address |
707 Sheridan Ave Cody WY 82414-3409 |
| Practice Telephone | 3075782903 |
| Mailing Telephone | 3075277501 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Randallia Dr, Fort Wayne, IN 468054638 | 2603734000 | 2604824442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435514 | Robert Lang | Audiologist | 1597 Park Ave, White Bear Lake, MN 55110-3704 | 2020-04-06 |
| 1700217817 | Robert Edward Lang | Counselor | 2379 Wharrey Dr, Sewickley, PA 15143-9002 | 2013-11-29 |
| 1740329820 | Robert T Lang | Chiropractor | 113 S State Ave, Alpena, MI 49707-2844 | 2007-02-06 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1427127455 | Robert G.r. Lang | Neurological Surgery | 3525 Ensign Rd Ne Ste J, Olympia, WA 98506-5065 | 2006-11-06 |
| 1558451997 | Robert A Lang Jr. | Dentist | 1859 Lake Road, Hamlin, NY 14464 | 2006-10-14 |
| 1871597377 | Robert D. Lang | Internal Medicine | 1000 E Paris Ave Se Ste 100, Grand Rapids, MI 49546 | 2005-06-13 |
| 1801428610 | Robert Anthony Lang II | Behavioral Analyst | 3186 Airway Ave Ste A, Costa Mesa, CA 92626-4650 | 2020-02-10 |
| 1811121338 | Robert Lang | Counselor | 150 Shoup Ave, Idaho Falls, ID 83402-3657 | 2009-05-12 |
| 1760645808 | Robert Scott Lang | Anesthesiology | 825 Old Lancaster Rd, Suite 250, Bryn Mawr, PA 19010-3231 | 2008-07-09 |
| Street Address |
424 YELLOWSTONE AVE STE 120 |
| City | CODY |
| State | WY |
| Zip Code | 82414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770529703 | Kelly K. Simone | Physician Assistant | 424 Yellowstone Ave Ste 120, Cody, WY 82414-9311 | 2006-06-20 |
| 1720450646 | Daniel Fong Jr. | Physician Assistant | 424 Yellowstone Ave Ste 120, Cody, WY 82414-9311 | 2015-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477859015 | Craig James Edwards | Physician Assistant | 3030 Big Horn Ave Ste C, Cody, WY 82414-9208 | 2011-01-30 |
| 1902959265 | Sonja Marie Hein | Physician Assistant | 1231 Rumsey Ave, Cody, WY 82414-3607 | 2007-01-19 |
| 1306405790 | Jennifer Lindsay Warner | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2019-06-10 |
| 1982160180 | Lauren Seitz | Physician Assistant | 702 Platinum Dr, Cody, WY 82414-3420 | 2019-02-13 |
| 1053821066 | Kayla Nagle | Physician Assistant | 3030 Big Horn Ave, Cody, WY 82414-9208 | 2017-10-04 |
| 1295282457 | Steven A. Bischoff | Physician Assistant | 707 Sheridan Ave, Cody, WY 82414-3409 | 2016-09-06 |
| 1376999870 | Betsey Jean Neddermeyer | Physician Assistant | 201 Yellowstone Ave, Cody, WY 82414-9313 | 2016-05-13 |
| 1720450646 | Daniel Fong Jr. | Physician Assistant | 424 Yellowstone Ave Ste 120, Cody, WY 82414-9311 | 2015-10-30 |
| 1093185191 | Stephen Rogers | Physician Assistant | 424 Yellowstone Ave, Suite 140, Cody, WY 82414-9309 | 2015-10-01 |
| 1891070744 | Angela Marie Redder | Physician Assistant | 201 Yellowstone Ave, Cody, WY 82414-9313 | 2011-10-11 |
| Find all providers in CODY | ||||
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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.