DR. NICHOLAS LANGE (NPI# 1285650952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285650952 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS LANGE |
| Credential | MD |
| Practice Address |
250 Thompson St. St. Paul MN 55102 |
| Mailing Address |
166 4th St. E. Ste. 100 St. Paul MN 55101-5641 |
| Practice Telephone | 6512922000 |
| Mailing Telephone | 6512922000 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
65880 | MN | Allopathic & Osteopathic Physicians |
| N | 171000000X | Military Health Care Provider | 0101239993 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689133217 | Nicholas Lange | Pharmacist | 622 West 168th Street, Vc-basement, New York, NY 10032 | 2019-03-13 |
| 1083122147 | Nicholas Lange | Counselor | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2018-01-11 |
| Street Address |
250 THOMPSON ST. |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326455239 | Justin Nelson | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2014-07-14 |
| 1750721593 | David Michael Miller | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2013-06-25 |
| 1679916423 | Leslie Teng | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2013-04-11 |
| 1609118710 | Matthew Stephen Manganaro | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2013-03-27 |
| 1326307760 | Zachary Brandon Royce | Radiology | 250 Thompson St., St. Paul, MN 55102-2370 | 2012-05-04 |
| 1033417571 | Jason John Carroll | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2011-03-08 |
| 1396972584 | Brendan M O'shea | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2009-06-16 |
| 1538366752 | Laurent Grignon | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2007-06-29 |
| 1467667774 | Craig Paul Rodriguez | Radiology | 250 Thompson St., St. Paul, MN 55102-2370 | 2007-05-11 |
| 1205053832 | Leif Erik Jensen | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760429138 | Pamela J Wymore | Radiology | 166 4th Street E, St. Paul, MN 55101 | 2006-06-02 |
| 1669438610 | Douglas Houston Sheafor | Radiology | 166 4th St. E., Ste. 100, St. Paul, MN 55101 | 2006-04-26 |
| 1326455239 | Justin Nelson | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2014-07-14 |
| 1750721593 | David Michael Miller | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2013-06-25 |
| 1679916423 | Leslie Teng | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2013-04-11 |
| 1609118710 | Matthew Stephen Manganaro | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2013-03-27 |
| 1326307760 | Zachary Brandon Royce | Radiology | 250 Thompson St., St. Paul, MN 55102-2370 | 2012-05-04 |
| 1033417571 | Jason John Carroll | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2011-03-08 |
| 1396972584 | Brendan M O'shea | Radiology | 250 Thompson St., St. Paul, MN 55102 | 2009-06-16 |
| 1831330851 | Lashonda Watts Soma | Radiology | 166 4th St. E., St. Paul, MN 55101 | 2009-03-20 |
| Find all providers in ST. PAUL | ||||
Please comment or provide details below to improve the information on DR. NICHOLAS LANGE.
| 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.