KRYSTLE N LANGE (NPI# 1770846974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770846974 |
| Entity Type | Individual |
| Full Name | KRYSTLE N LANGE |
| Credential | D.O. |
| Practice Address |
1340 Charles St Ste 100 Rockford IL 61104-2200 |
| Mailing Address |
Po Box 1567 Rockford IL 61110-0067 |
| Practice Telephone | 7796968700 |
| Practice Fax Number | 7796968745 |
| Mailing Telephone | (779) 696-7150 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036143818 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | R-9506 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1340 CHARLES ST STE 100 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1598310849 | Catherine M Bopp | Physician Assistant | 1340 Charles St Ste 100, Rockford, IL 61104-2200 | 2019-08-05 |
| 1851763700 | Megan Buja | Physician Assistant | 1340 Charles St Ste 100, Rockford, IL 61104 | 2015-10-29 |
| 1528478104 | Justin Jacobson | Physician Assistant | 1340 Charles St Ste 100, Rockford, IL 61104 | 2014-05-05 |
| 1679851984 | Mathew Tod Legel | Orthopaedic Surgery | 1340 Charles St Ste 100, Rockford, IL 61104-2200 | 2011-08-03 |
| 1518253640 | Lacey M Stelle | Surgery | 1340 Charles St Ste 100, Rockford, IL 61104-2200 | 2011-06-27 |
| 1366612012 | Jason J Klovning | Surgery | 1340 Charles St Ste 100, Rockford, IL 61104-2200 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| 1962457499 | Lynn Mary Kutsche | Pediatrics | 1415 E State St, Suite 601, Rockford, IL 61104 | 2006-05-23 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750584058 | Elisha Jamyce Robinson | Surgery | 2509 Mandrake Dr, Rockford, IL 61108-8132 | 2007-06-06 |
| 1871585034 | Frederick William Church | Surgery | 7180 Spring Brook Rd, Suite B, Rockford, IL 61114-6700 | 2005-08-15 |
| 1881973014 | Igal Breitman | Surgery | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2011-08-05 |
| 1518253640 | Lacey M Stelle | Surgery | 1340 Charles St Ste 100, Rockford, IL 61104-2200 | 2011-06-27 |
| 1447550884 | Tetsuya Takeuchi | Surgery | 5668 E State St, Rockford, IL 61108-2464 | 2010-11-02 |
| 1558686709 | Michael Anthony Hart | Surgery | 5668 E State St, Rockford, IL 61108-2464 | 2010-03-31 |
| 1285965905 | John Eric Player | Surgery | 5668 E State St, Suite 1000, Rockford, IL 61108-2464 | 2010-01-20 |
| 1912146119 | Kbclinic | Surgery | 5666 East State Street, Ambulatory Surgery Center/ Dr Blumofe, Rockford, IL 61108-2425 | 2009-02-11 |
| 1033384904 | William James Cowden | Surgery | 2300 N Rockton Ave, Suite 304, Rockford, IL 61103-3619 | 2008-04-23 |
| 1063686848 | Dacia Aurelia Pickering | Surgery | 5668 E State St, #2, Rockford, IL 61108-2490 | 2008-04-14 |
| Find all providers in ROCKFORD | ||||
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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.