| Mark A. Lang, M.d., Llc | |
|
303 E Royalton Rd Suite 204 Broadview Heights OH 44147-2591 | |
| (440) 545-2272 | |
| (440) 545-5645 |
| Full Name | Mark A. Lang, M.d., Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 303 E Royalton Rd, Broadview Heights, Ohio |
| Authorized Official Name and Position | Mark Andrew Lang (SOLE MEMBER) |
| Authorized Official Contact | 4405452272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Lang, M.d., Llc Po Box 470803 Broadview Heights OH 44147-0803 Ph: (440) 545-2272 | Mark A. Lang, M.d., Llc 303 E Royalton Rd Suite 204 Broadview Heights OH 44147-2591 Ph: (440) 545-2272 |
| NPI Number | 1528301488 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 03/28/2013 |
| Medicare PECOS PAC ID | 6406096221 |
|---|---|
| Medicare Enrollment ID | O20130627000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528301488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35072067 (Ohio) | Primary |
| Provider Name | Mark Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972508232 PECOS PAC ID: 5890753834 Enrollment ID: I20100203000950 |
| Provider Name | Raja Shaheen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275622367 PECOS PAC ID: 5991771750 Enrollment ID: I20121005000632 |
Marymount Primary Care Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 E Royalton Rd, Broadview Heights, OH 44147 Phone: 440-717-6100 Fax: 440-546-1382 | |
Troy W Bishop Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9417 Broadview Rd, Broadview Heights, OH 44147 Phone: 440-545-2272 Fax: 440-545-5645 | |
Bow Tie Medical Ohio, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7500 Town Centre Dr Ste 200, Broadview Heights, OH 44147 Phone: 877-283-8863 Fax: 213-784-5670 | |
Paul Bures Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9417 Broadview Rd, Broadview Heights, OH 44147 Phone: 440-545-2272 | |
University Hospitals Case Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 E Royalton Rd, Broadview Heights, OH 44147 Phone: 216-844-8447 |