DR. GRANT ADAM LANGE (NPI# 1427051127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427051127 |
| Entity Type | Individual |
| Full Name | DR. GRANT ADAM LANGE |
| Credential | DO |
| Practice Address |
50505 Schoenherr Rd Suite 300 Shelby Township MI 48315-3140 |
| Practice Telephone | 5867265566 |
| Practice Fax Number | 5867268085 |
| Mailing Telephone | 5867265566 |
| Mailing Fax Number | 5867268085 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2012-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5315007756 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4526970 | 05 |
| Street Address |
50505 SCHOENHERR RD SUITE 300 |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48315-3140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092769 | Carly Knudsen | Nurse Practitioner | 50505 Schoenherr Rd, Ste 340, Shelby Township, MI 48315-3140 | 2019-09-17 |
| 1497281935 | Nicole Erin Graessle | Nurse Practitioner | 50505 Schoenherr Rd, Shelby Township, MI 48315 | 2017-05-03 |
| 1013455922 | Russell Miller | Nurse Practitioner | 50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315-3140 | 2017-02-11 |
| 1699223982 | Elizabeth Anne White | Dermatology | 50505 Schoenherr Rd, Suite 325, Shelby Township, MI 48315-3140 | 2016-09-14 |
| 1558761510 | Rachel Menger | Counselor | 50505 Schoenherr Rd, Shelby Township, MI 48315-3140 | 2014-08-27 |
| 1003222902 | Ciara Braun | Counselor | 50505 Schoenherr Rd, Suite 270, Shelby Township, MI 48315-3140 | 2014-07-11 |
| 1417361361 | Cynthia Shields | Nurse Practitioner | 50505 Schoenherr Rd, Suite 340, Shelby Township, MI 48315-3140 | 2014-06-19 |
| 1003226622 | Gi Medical Assoc PC | Internal Medicine | 50505 Schoenherr Rd, 250, Shelby Township, MI 48315-3140 | 2014-05-05 |
| 1639594799 | Stephanie Bazydlo | Dietitian, Registered | 50505 Schoenherr Rd, Suite 240, Shelby Township, MI 48315-3140 | 2014-02-26 |
| 1023446176 | Henry Ford Hospital | General Acute Care Hospital | 50505 Schoenherr Rd, Suite 330, Shelby Township, MI 48315-3140 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1861039844 | Lauren Nicole Himmel | Physician Assistant | 13051 Michael Dr., Shelby Twp., MI 48315 | 2019-12-09 |
| 1881173763 | Shelby Family Cosmetic & Restorative Dentistry | Dentist | 51221 Schoenherr Road., Suite 102, Shelby Township, MI 48315 | 2018-08-10 |
| 1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
| 1053809145 | Bam Management | Clinic/Center | 13433 Hall Road, Utica, MI 48315 | 2018-04-25 |
| 1659723203 | Patricia Gates | Registered Nurse | 23066 Balcombe, Utica, MI 48315 | 2016-07-07 |
| 1124481213 | Jai Shree Umiya Inc | Durable Medical Equipment & Medical Supplies | 13350 24 Mile Rd Ste 300, Shelby Township, MI 48315 | 2016-04-05 |
| 1679931828 | Team Rehabilitation S3, LLC | Physical Therapist | 13350 24 Mile Road, Suite 500, Shelby Township, MI 48315 | 2016-02-03 |
| 1164816484 | Sylvia White | Case Manager/Care Coordinator | 47100 Schoenherr Rd. Suite D, Shelby Township, MI 48315 | 2015-03-25 |
| 1770921389 | Amy Christine Vitale | Speech-Language Pathologist | 14145 Simone Dr., Developing Connections Inc, Shelby Twp, MI 48315 | 2013-06-06 |
| Find all providers in zip 48315 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1497116230 | Ausi Medical Center PC | Internal Medicine | 54251 Carrington Dr, Shelby Township, MI 48316-1367 | 2016-03-07 |
| 1992864417 | Lisa Marie Hall | Internal Medicine | 52915 Mound Road, Shelby Township, MI 48316-3266 | 2006-12-08 |
| 1023069770 | Malaz Alatassi | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2006-05-15 |
| 1457883985 | Matthew Richard Garrity | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2017-04-03 |
| 1801246012 | Zahraa Karoofa | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2016-06-18 |
| 1740664499 | Brian Tyson | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-07-13 |
| 1457733297 | Waseem Obeid | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-06-28 |
| 1821484122 | Raya Kutaimy | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2015-04-13 |
| 1396165080 | Varun Sai Yelamanchili | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2014-04-21 |
| 1851718092 | Tara Deryavoush | Internal Medicine | 50505 Schoenherr Rd Ste 340, Shelby Township, MI 48315-3140 | 2014-03-26 |
| Find all providers in SHELBY TOWNSHIP | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48315 |
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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.