MADISON LANGE (NPI# 1518577980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518577980 |
| Entity Type | Individual |
| Full Name | MADISON LANGE |
| Credential | MSN, APRN, PMHNP-BC |
| Practice Address |
710 Cleveland Ave Fremont OH 43420-3224 |
| Mailing Address |
4154 Moser Ln Perrysburg OH 43551-7183 |
| Practice Telephone | 4193346619 |
| Mailing Telephone | 2698739617 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
LE-00033495 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0419613 | 05 |
| Street Address |
710 CLEVELAND AVE |
| City | FREMONT |
| State | OH |
| Zip Code | 43420-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649302621 | Ryan Jeffrey Travis | Psychiatry & Neurology | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2007-03-12 |
| 1841700416 | Courtney Andryc | Occupational Therapist | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2017-10-09 |
| 1881945756 | Denise P Bergman | Speech-Language Pathologist | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2012-10-02 |
| 1952611725 | Laura M Winters | Speech-Language Pathologist | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2010-10-14 |
| 1881909745 | Susan L Cairns | Speech-Language Pathologist | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2010-08-16 |
| 1538390034 | Jeremy C Smith | Physical Therapist | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2009-07-31 |
| 1649400326 | Deborah S Ransbottom | Occupational Therapist | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2009-07-16 |
| 1528294535 | Vickie L Sneath | Physical Therapist | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2009-06-04 |
| 1184850190 | Erin M Scott | Physical Therapist | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2009-06-04 |
| 1942449012 | Pamela A Pavlis | Occupational Therapist | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2009-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1962912667 | Michael Safradin | Nurse Practitioner | 4549 Angeles Ave, Fremont, CA 94536-5428 | 2017-10-07 |
| 1982910485 | Denine A. Baldor | Nurse Practitioner | 39199 Liberty St., Fremont, CA 94538 | 2010-08-23 |
| 1659468213 | Kimberly K Camp-grimit | Nurse Practitioner | 680 E Fremont Medical Park Dr Ste 300, Fremont, NE 68025-2309 | 2006-10-06 |
| 1568000438 | Amanda Kay Kiddey | Nurse Practitioner | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2019-12-11 |
| 1265078778 | Harman Randhawa | Nurse Practitioner | 39159 Paseo Padre Pkwy, Fremont, CA 94538-1608 | 2019-11-19 |
| 1407938483 | Paul Michael Navarro | Nurse Practitioner | 39400 Paseo Padre Pkwy, Fremont, CA 94538 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1427658368 | Greta Katherine Heckmann | Nurse Practitioner | 2508 Beechmont Ave Apt 43, Cincinnati, OH 45230-1240 | 2020-10-29 |
| 1083213078 | Smtia Sonali Carpenter | Nurse Practitioner | 9509 Knarwood Ct, Pickerington, OH 43147-8106 | 2020-10-20 |
| 1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
| 1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
| 1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
| 1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
| 1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
| 1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
| 1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MADISON LANGE.
| 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.