DR. JASON LANGE (NPI# 1174937775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174937775 |
| Entity Type | Individual |
| Full Name | DR. JASON LANGE |
| Credential | M.D. |
| Practice Address |
200 E State St Ste 105 Media PA 19063-3434 |
| Practice Telephone | 6108921708 |
| Practice Fax Number | 6108928766 |
| Mailing Telephone | 6108921708 |
| Mailing Fax Number | 6108928766 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME133038 | FL | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | ME133038 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ME133038 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17 Davis Blvd, Tampa, FL 336063475 | 8138447000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341562 | Jason F Lange | Pediatrics | 532 Moe Road, Four Seasons Pediatrics, Clifton Park, NY 12065 | 2005-10-28 |
| 1275593931 | Jason Kent Lange | Internal Medicine | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2006-03-27 |
| Street Address |
200 E STATE ST STE 105 |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564592 | Ridley Creek Retina LLC | Internal Medicine | 200 E State St Ste 105, Media, PA 19063-3434 | 2020-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912945783 | Maria Palatucci Mcneill | Ophthalmology | 1098 W Baltimore Pike Ste 3405, Media, PA 19063-5139 | 2006-06-03 |
| 1548265374 | Anthony Antonello Jr. | Ophthalmology | 1098 W Baltimore Pike, Suite 3302, Media, PA 19063-5139 | 2005-06-17 |
| 1952517435 | Aaron Cohn | Ophthalmology | 1098 W Baltimore Pike, Suite 3302, Media, PA 19063-5139 | 2007-05-14 |
| 1639234412 | Leon M Mielcarek Jr Md PC | Ophthalmology | 319 W State St, Media, PA 19063-2615 | 2006-12-22 |
| 1508899618 | Ocular Telehealth Management, LLC | Ophthalmology | 1068 W Baltimore Pike, Media, PA 19063-5104 | 2006-07-09 |
| 1508893587 | Stephen H Sinclair Md PC | Ophthalmology | 200 E State St, Suite 301, Media, PA 19063-3434 | 2006-06-27 |
| 1346298536 | Riddle Eye Associates P C | Ophthalmology | 1098 W Baltimore Pike, Suite 3302, Media, PA 19063-5139 | 2006-05-04 |
| 1679542443 | Stephen H Sinclair | Ophthalmology | 200 E State St, Suite 301, Media, PA 19063-3434 | 2006-03-15 |
| 1235126624 | Joseph Manuel Ortiz | Ophthalmology | 1098 W Baltimore Pike, Suite 3302, Media, PA 19063-5139 | 2005-09-30 |
| 1801891627 | Edward A Jaeger | Ophthalmology | 1098 W Baltimore Pike, Ste 3302, Media, PA 19063-5139 | 2005-06-17 |
| Find all providers in MEDIA | ||||
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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.