DR. JASON KENT LANGE (NPI# 1275593931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275593931 |
Entity Type | Individual |
Full Name | DR. JASON KENT LANGE |
Credential | M.D. |
Practice Address |
2405 S Clear Creek Rd Killeen TX 76549-5775 |
Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
Practice Telephone | 2546181888 |
Practice Fax Number | 2545195264 |
Enumeration Date | 2006-03-27 |
Last Update Date | 2020-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
L3370 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 98950827 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2401 S 31st St, Temple, TX 76508 | 2547242111 | 2547247603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174937775 | Jason Lange | Internal Medicine | 200 E State St Ste 105, Media, PA 19063-3434 | 2014-06-12 |
1457341562 | Jason F Lange | Pediatrics | 532 Moe Road, Four Seasons Pediatrics, Clifton Park, NY 12065 | 2005-10-28 |
Street Address |
2405 S CLEAR CREEK RD |
City | KILLEEN |
State | TX |
Zip Code | 76549-5775 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518966274 | Sandy M Bidner | Orthopaedic Surgery | 2405 S Clear Creek Rd, Suite 290, Killeen, TX 76549-5775 | 2005-07-15 |
1538631403 | Veronica Reyes | Nurse Practitioner | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2018-12-17 |
1023467693 | Mackenzie Leigh Wilson Malek | Obstetrics & Gynecology | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2016-06-06 |
1104290154 | Deborah Jebakumar | Pathology | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2015-11-13 |
1902278336 | Scott & White Clinic | Audiologist-Hearing Aid Fitter | 2405 S Clear Creek Rd, Suite 350 3rd Floor, Room 3.177, Killeen, TX 76549 | 2015-10-26 |
1831567874 | Christine Ray | Physician Assistant | 2405 S Clear Creek Rd, Suite 290, Killeen, TX 76549-5775 | 2015-09-08 |
1780062406 | Sasha Melissa Morales - Otero | Registered Nurse | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2015-05-14 |
1144617408 | Andrew Scott Novack | Anesthesiology | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2015-04-23 |
1669877106 | Tiffany Lauren Brown | Nurse Practitioner | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2014-10-27 |
1760809073 | Rohan Mehta | Internal Medicine | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2014-03-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114311826 | Texas Cardiovascular | Internal Medicine | 2123 S Clear Creek Rd, Killeen, TX 76549-4110 | 2015-03-20 |
1942438619 | Cardiovascular Specialists of Texas, P.a. | Internal Medicine | 2207 S. Clear Creek Road, Suite 205, Killeen, TX 76549-4132 | 2009-07-01 |
1730161860 | George S Rebecca | Internal Medicine | 4200 W Stan Schlueter Loop Bldg C, Killeen, TX 76549-5724 | 2005-11-15 |
1861494486 | Paul D Peterson | Internal Medicine | 2207 S Clear Creek Rd, Ste 304, Killeen, TX 76549-4132 | 2005-08-12 |
1770038846 | Cardio Wellcare LLC | Internal Medicine | 4200 W Stan Schlueter Loop Bldg C, Killeen, TX 76549-5724 | 2016-08-18 |
1356728455 | Cardiovascular Consultants Central Texas Pllc | Internal Medicine | 4200 W Stan Schlueter Loop Bldg C, Killeen, TX 76549-5724 | 2015-04-28 |
1760809073 | Rohan Mehta | Internal Medicine | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2014-03-25 |
1295058295 | Pablo Leonardo Md Pa | Internal Medicine | 2301 S Clear Creek Rd, Suite 202, Killeen, TX 76549-4143 | 2010-03-04 |
1144478579 | Texas Cardiovascular Consultants, Pa | Internal Medicine | 2207 S Clear Creek Rd, Ste. 205, Killeen, TX 76549-4132 | 2008-08-27 |
1750358834 | Umad Ahmad | Internal Medicine | 2405 S Clear Creek Rd, Killeen, TX 76549-5775 | 2006-03-07 |
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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.