DANIEL LANGE (NPI# 1972522720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972522720 |
| Entity Type | Individual |
| Full Name | DANIEL LANGE |
| Credential | M.D. |
| Practice Address |
1701 E College Ave Bloomington IL 61704-2101 |
| Mailing Address |
602 W University Ave Urbana IL 61801-2530 |
| Practice Telephone | 3096643038 |
| Mailing Telephone | 2173833311 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036106192 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP PTAN | IL2613 | 01 |
| IL | RAILROAD | 340020547 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194809509 | Daniel Edmund Lange | Social Worker | 10 Tri Park Way, 10 Tri-park Way, Appleton, WI 54914-1658 | 2006-10-24 |
| 1871566752 | Daniel Hart Lange Sr. | Family Medicine | 1650 Cochrane Cir, Ft Carson, CO 80913-4603 | 2006-02-10 |
| 1730185869 | Daniel B Lange | Ophthalmology | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-23 |
| Street Address |
1701 E COLLEGE AVE |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602140 | Brandy Lynn Redman | Occupational Therapist | 1701 E College Ave, Bloomington, IL 61704-2101 | 2005-07-12 |
| 1336777515 | Paula Roberts | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2020-04-01 |
| 1689150948 | Barbara Luann Weis | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-07-18 |
| 1366949224 | Kayla Marie Hnilicka | Registered Nurse | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-04-09 |
| 1992227052 | Christine C Gardner | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2017-07-11 |
| 1033652243 | Sonal Mukesh Patel | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2016-11-21 |
| 1285013029 | Andrew Tharp | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2015-05-27 |
| 1154670073 | Amy Lynn Nelson | Occupational Therapist | 1701 E College Ave, Bloomington, IL 61704-2101 | 2012-09-06 |
| 1336403237 | Derrick Alwyn Fox | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2012-06-26 |
| 1437434982 | Abbi Carr | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2011-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427357227 | Premier Medical Group, LLC | Urology | 1401 Eastland Dr Ste B, Bloomington, IL 61701-3514 | 2011-03-18 |
| 1710112271 | Michael Andrew Surian | Urology | 880 Woodcrest Drive, Bloomington, IN 47401 | 2009-05-27 |
| 1083608335 | Timothy A Habbe | Urology | 2907 Mcintyre Dr, Bloomington, IN 47403-4209 | 2005-09-01 |
| 1659379535 | Warren L Gray | Urology | 2907 Mcintyre Dr., Bloomington, IN 47403-4224 | 2005-07-13 |
| 1467450767 | Brian J Logue | Urology | 2907 S Mcintire Dr, Bloomington, IN 47403-4224 | 2005-07-11 |
| 1578940151 | Ashley Shumate | Urology | 1520 S Liberty Dr, Bloomington, IN 47403-5167 | 2015-05-02 |
| 1790075596 | Amanda Jean Pettibone-pond | Urology | 1520 S Liberty Dr, Bloomington, IN 47403-5167 | 2011-04-13 |
| 1548427123 | Paula J Bunde | Urology | 1520 S Liberty Dr, Bloomington, IN 47403-5167 | 2008-05-21 |
| 1831215391 | Urologic Surgery Associates, S.c. | Urology | 1414 Woodbine Rd, Bloomington, IL 61704-2817 | 2007-03-22 |
| 1003912726 | Dean L Lenz | Urology | 1520 S Liberty Dr, Bloomington, IN 47403-5167 | 2006-09-16 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on DANIEL 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.