Kathleen Anne Lange (NPI# 1811085848, PAC ID# 2163512393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1811085848 |
| PAC ID by PECOS | 2163512393 |
| Professional Enrollment ID | I20081217000661 |
| Full Name | Kathleen Anne Lange |
| Address |
707 S Main St Centerville IA 52544-2421 |
| Gender | F |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161377 | MERCY MEDICAL CENTER-CENTERVILLE |
| 160083 | MERCY MEDICAL CENTER-DES MOINES |
| 161327 | DAVIS COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 707 S Main St, Centerville, IA 52544-2421 |
| Street Address |
707 S MAIN ST |
| City | CENTERVILLE |
| State | IA |
| Zip | 52544-2421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark N Hendrixson | Medical Oncology | 707 S Main St, Crossville, TN 38555-5011 | |
| Narendra K Batra | General Surgery | 707 S Main St, Centerville, IA 52544-2421 | |
| Melissa L Gingrich | Clinical Nurse Specialist | Ottumwa Health Group LLC | 707 S Main St, Chariton Valley Ctr, Centerville, IA 52544-2421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaren R Tubaugh | Chiropractic | 1114 N Haynes Ave, Centerville, IA 52544-1134 | |
| Sharon D Hopkins-brinegar | Nurse Practitioner | Paula S. Gordy Lisw, LLC | 501 N 12th St, Suite 1, Centerville, IA 52544-1439 |
| Beverly J Versteegh | Clinical Social Worker | Paula S. Gordy Lisw, LLC | 501 N 12th St, Suite 1, Centerville, IA 52544-1439 |
| Daniel W Alletto | Optometry | International Eyecare Center, Inc | 125 N 13th St, Centerville, IA 52544-1705 |
| Derek P Vogelpohl | Optometry | International Eyecare Center, Inc | 125 N 13th St, Centerville, IA 52544-1705 |
| Lawrence E Heffron | Chiropractic | 116 E Jackson St, Centerville, IA 52544-1708 | |
| William A Heffron Jr. | Chiropractic | 116 E Jackson St, Centerville, IA 52544-1708 | |
| Krista Lynn Johnson | Nurse Practitioner | Community Health Centers of Southern Iowa Inc | 221 E State St, Centerville, IA 52544-1813 |
| Colleen Elizabeth Stephens | Clinical Social Worker | Community Health Centers of Southern Iowa Inc | 221 E State St, Centerville, IA 52544-1813 |
| Paul D Poncy | Family Practice | 236 W Maple St, Centerville, IA 52544-2222 | |
| Find all physicians in zip 52544 | |||
| City | CENTERVILLE |
| Zip Code | 52544 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CENTERVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kathleen Anne Lange.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.