MRS. SAMANTHA SUE LANG (NPI# 1447584719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447584719 |
Entity Type | Individual |
Full Name | MRS. SAMANTHA SUE LANG |
Credential | FNP |
Practice Address |
861 Monroe St Dearborn MI 48124-2308 |
Practice Telephone | 3132741800 |
Practice Fax Number | 3132748717 |
Mailing Telephone | 3132741800 |
Mailing Fax Number | 3132748717 |
Enumeration Date | 2009-09-19 |
Last Update Date | 2018-12-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704126798 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497160030 | Samantha Lang | Licensed Practical Nurse | 9 Midwood Ave, Farmingdale, NY 11735-5349 | 2014-06-23 |
1518383405 | Samantha Lang | Speech-Language Pathologist | 27176 Kullman Rd, Cole Camp, MO 65325-2576 | 2014-03-15 |
1619577293 | Samantha Lang | Pharmacist | 427 Highway 425 N, Monticello, AR 71655-4015 | 2020-10-31 |
1538668991 | Samantha J Lang | Case Manager/Care Coordinator | 4850 Madison Rd, Cincinnati, OH 45227-1428 | 2018-02-12 |
1124430681 | Samantha Lang | Occupational Therapist | 135 S Gibson St, Medford, WI 54451-1622 | 2014-06-02 |
Street Address |
861 MONROE ST |
City | DEARBORN |
State | MI |
Zip Code | 48124-2308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184615205 | Parvez Khan | Internal Medicine | 861 Monroe St, Dearborn, MI 48124-2308 | 2005-10-31 |
1316425424 | Jeanne Therese Gugudis | Nurse Practitioner | 861 Monroe St, Dearborn, MI 48124 | 2018-07-31 |
1790297901 | Sarah Baban | Nurse Practitioner | 861 Monroe St, Dearborn, MI 48124-2308 | 2017-10-27 |
1164976908 | Seija Olivier | Nurse Practitioner | 861 Monroe St, Dearborn, MI 48124-2308 | 2016-08-10 |
1770984015 | Suvnir Dulai | Nurse Practitioner | 861 Monroe St, Dearborn, MI 48124-2308 | 2014-09-05 |
1134459662 | Parvez Khan Md,pc | Clinic/Center | 861 Monroe St, Dearborn, MI 48124-2308 | 2010-01-06 |
1770788226 | Tabitha Kildani | Physician Assistant | 861 Monroe St, Dearborn, MI 48124-2308 | 2007-06-15 |
1174738231 | Yusuf Qamruzzaman | Internal Medicine | 861 Monroe St, Dearborn, MI 48124-2308 | 2007-05-11 |
1770569022 | Shabana Khan | Internal Medicine | 861 Monroe St, Dearborn, MI 48124-2308 | 2005-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
Find all providers in zip 48124 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487254850 | Rola Ajami | Nurse Practitioner | 4964 Rosalie St, Dearborn, MI 48126-2831 | 2020-10-27 |
1801406681 | Majlinda Meci | Nurse Practitioner | 21702 Gregory St, Dearborn, MI 48124-3047 | 2020-08-05 |
1679195374 | Vanessa Patel | Nurse Practitioner | 15120 Michigan Ave Ste A, Dearborn, MI 48126-3768 | 2020-05-15 |
1740825371 | Sena Yehya | Nurse Practitioner | 7030 Kingsley St, Dearborn, MI 48126-1943 | 2019-11-06 |
1700427937 | Sonia Mae Garcia | Nurse Practitioner | 3350 Croissant St, Dearborn, MI 48124-4382 | 2019-09-29 |
1003465428 | Latoya Chevae' Ellis | Nurse Practitioner | 18100 Oakwood Blvd Ste 100, Dearborn, MI 48124-4085 | 2019-09-09 |
1013471275 | Sarah Naji | Nurse Practitioner | 7863 W Morrow Cir, Dearborn, MI 48126-1156 | 2019-01-22 |
1891270237 | Jennifer Aaron Lotarski | Nurse Practitioner | 21537 Audette St, Dearborn, MI 48124-3025 | 2018-10-02 |
1649752742 | Jennifer Mcconnell | Nurse Practitioner | 5901 Chase Rd Ste 110, Dearborn, MI 48126-0900 | 2018-09-05 |
1164926317 | Sarah Anne Faunt | Nurse Practitioner | 1306 N Silvery Ln, Dearborn, MI 48128-1033 | 2018-03-22 |
Find all providers in DEARBORN |
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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.