DR. SAMUEL HUSBANDS LANGSTAFF JR.


Address: 4170 South Federal Blvd., Sheridan, CO 80110
Phone: 3037811636

DR. SAMUEL HUSBANDS LANGSTAFF JR. (NPI# 1518152842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518152842
Entity Type Individual
Full Name DR. SAMUEL HUSBANDS LANGSTAFF JR.
Credential MD
Practice Address 4170 South Federal Blvd.
Sheridan
CO 80110
Mailing Address 4200 E. 9th Avenue
Campus Box C288-8
Denver
CO 80262
Practice Telephone 3037811636
Practice Fax Number 3037839978
Mailing Telephone 3033155213
Mailing Fax Number 3033150484
Enumeration Date 2007-09-10
Last Update Date 2007-09-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
13412 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 01134121 05

Office Location

Street Address 4170 SOUTH FEDERAL BLVD.
City SHERIDAN
State CO
Zip Code 80110

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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

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1225227234 Martina Ann Paiz Nurse Practitioner 8990 N Washington, Thornton, CO 80229-4537 2007-10-16
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1013994003 Aaron S Lawrence Nurse Practitioner 2502 E Pikes Peak Ave, 3rd Floor, Colorado Springs, CO 80909-6033 2005-12-29
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1487958070 Mark Jankelow Nurse Practitioner 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 2010-12-22
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Competitor

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City SHERIDAN
Zip Code 80110

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Dataset Information

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.

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