DR. GORDON LANG (NPI# 1790890200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790890200 |
| Entity Type | Individual |
| Full Name | DR. GORDON LANG |
| Credential | M.D. |
| Practice Address |
333 N 14th St Wakeeney KS 67672-3000 |
| Mailing Address |
300 Hazel Ave Wakeeney KS 67672-1538 |
| Practice Telephone | 7857432124 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 04-20739 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS EFCC RHC | 105315 | 01 |
| KS | BCBS WFCC RHC | 104716 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245448505 | Gordon Edward Lang | Pathology | 5124 N Ardmore Ave, Whitefish Bay, WI 53217-5743 | 2007-05-18 |
| 1659855690 | Gordon Alan Lang | Social Worker | 14 Morton St, Watertown, MA 02472-2249 | 2018-09-15 |
| 1013380591 | Gordon Lang | Nurse Practitioner | 11410 Jollyville Rd, Suite 1101, Austin, TX 78759-4097 | 2015-11-05 |
| Street Address |
333 N 14TH ST |
| City | WAKEENEY |
| State | KS |
| Zip Code | 67672-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427163948 | Lisa Frost | Nurse Practitioner | 333 N 14th St, Wakeeney, KS 67672-3000 | 2006-08-21 |
| 1174041636 | Amanda Catherine Casey | Physician Assistant | 333 N 14th St, Wakeeney, KS 67672-3000 | 2017-09-05 |
| 1114067436 | David B. Day | Physician Assistant | 333 N 14th St, Wakeeney, KS 67672-3000 | 2007-02-07 |
| 1336238492 | David L Bollig | General Practice | 333 N 14th St, Wakeeney, KS 67672-3000 | 2006-10-12 |
| 1629186960 | Trego County Lemke Memorial Hospital | Clinic/Center | 333 N 14th St, Wakeeney, KS 67672-3000 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104042290 | Kelley Detention Services of Wakeeney, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 675 South 13th Street, Wakeeney, KS 67672 | 2007-04-17 |
| 1114026895 | Gibson Drug, Inc. (dba) Gibson Health Mart | Pharmacy | 125 N. Main St., Wakeeney, KS 67672 | 2006-09-21 |
| 1821105081 | Jenkins Family Dentistry | Dentist | 531 Russell, Wakeeney, KS 67672 | 2006-08-24 |
| 1851339436 | Jesse Belville | Emergency Medicine | 333 N. 14th, Wakeeney, KS 67672 | 2006-06-03 |
| 1306918255 | County of Trego | Clinic/Center | 201 N Main, Wakeeney, KS 67672 | 2006-11-15 |
| 1306111992 | Heather A Robben Od LLC | Optometrist | 308 N 6th St, Wakeeney, KS 67672-1802 | 2012-03-14 |
| 1881763019 | William Sparks Benkelman | Optometrist | 308 N 6th St, Wakeeney, KS 67672-1802 | 2006-11-06 |
| 1427141571 | Anjanette Veronica Gideon | Social Worker | 407 N 6th St, Wakeeney, KS 67672-1803 | 2006-10-02 |
| 1407869092 | Heather Ann Robben | Optometrist | 310 N 6th St, Wakeeney, KS 67672-1805 | 2006-08-14 |
| 1619955101 | County of Trego | Ambulance | 525 Warren Ave, Wakeeney, KS 67672-1809 | 2006-01-04 |
| Find all providers in zip 67672 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336238492 | David L Bollig | General Practice | 333 N 14th St, Wakeeney, KS 67672-3000 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437419 | Lewis H. Roht | General Practice | 12512 High Drive, Leawood, KS 66209-1341 | 2020-04-27 |
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1508360405 | Landmark Medical of Kansas Pa | General Practice | 5350 College Blvd Ste 122, Overland Park, KS 66211-1633 | 2018-03-23 |
| 1902342892 | Drsalliance LLC | General Practice | 13968 Santa Fe Trail Dr, Lenexa, KS 66215-3382 | 2017-01-16 |
| 1114470010 | St Catherine Hospital | General Practice | 2051 E Mary St, Garden City, KS 67846-3617 | 2016-07-27 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1245631100 | James Berry | General Practice | 10821 S Whitetail Ln, Olathe, KS 66061-9395 | 2014-09-10 |
| 1427470087 | Chs Health Services, LLC | General Practice | 2000 Nw Us Highway 24, Topeka, KS 66618-1445 | 2014-01-15 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1417211665 | James M Stanford | General Practice | 202 S Frisco St, Coldwater, KS 67029-9101 | 2012-07-02 |
| Find all providers with the same taxonomy | ||||
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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.