Scott E Langenburg, MD | |
2121 Hughes Dr, Suite 620, Toledo, OH 43606-3845 | |
(419) 291-2126 | |
(419) 291-6967 |
Full Name | Scott E Langenburg |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 2121 Hughes Dr, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093715450 | NPI | - | NPPES |
000000521515 | Other | OH | ANTHEM |
04561 | Other | OH | PARAMOUNT |
4672412 | Medicaid | MI | |
7633064 | Other | OH | AETNA |
4115606 | Medicaid | MI | |
5202232 | Medicaid | MI | |
4072053 | Medicaid | MI | |
7660 | Other | HEALTH PLAN OF MI | |
SL069906 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
2486804 | Other | OH | BCMH |
2486804 | Medicaid | OH | |
146595 | Other | GLHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 4301069906 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | Michigan Pediatric Surgery Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396817714 PECOS PAC ID: 1254238165 Enrollment ID: O20031218000155 |
Mailing Address | Practice Location Address |
---|---|
Scott E Langenburg, MD 2121 Hughes Dr, Suite 620, Toledo, OH 43606-3845 Ph: (419) 291-2126 | Scott E Langenburg, MD 2121 Hughes Dr, Suite 620, Toledo, OH 43606-3845 Ph: (419) 291-2126 |
Michael D. Klein, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2121 Hughes Dr, Ste 620, Toledo, OH 43606 Phone: 419-291-2126 Fax: 419-291-6967 | |
Itiya S Felix, AGACNP Surgery Medicare: Medicare Enrolled Practice Location: 2109 Hughes Dr Ste 450, Toledo, OH 43606 Phone: 419-291-2003 | |
Todd E Russell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2109 Hughes Dr, Suite 450, Toledo, OH 43606 Phone: 419-291-2003 Fax: 419-479-6977 | |
Alexander David Ghannam, MD Surgery Medicare: Medicare Enrolled Practice Location: 2109 Hughes Dr # 720, Toledo, OH 43606 Phone: 419-291-2077 Fax: 419-291-2122 | |
Elizabeth Erin Odil, MD Surgery Medicare: Medicare Enrolled Practice Location: 3000 Arlington Ave, Toledo, OH 43614 Phone: 419-383-6462 | |
Pejma Shazadeh Safavi, Surgery Medicare: Medicare Enrolled Practice Location: 4430 N Holland Sylvania Rd, Toledo, OH 43623 Phone: 714-768-9799 |