1740296359 NPI number — HANS A LANGSCHWAGER MD PA

Table of content: (NPI 1740296359)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740296359 NPI number — HANS A LANGSCHWAGER MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANS A LANGSCHWAGER MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740296359
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2595 TAMPA RD
Provider Second Line Business Mailing Address:
SUITE 1C
Provider Business Mailing Address City Name:
PALM HARBOR
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34684-3152
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-785-7402
Provider Business Mailing Address Fax Number:
727-784-7301

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2595 TAMPA RD
Provider Second Line Business Practice Location Address:
SUITE 1C
Provider Business Practice Location Address City Name:
PALM HARBOR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34684-3152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-785-7402
Provider Business Practice Location Address Fax Number:
727-784-7301
Provider Enumeration Date:
08/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LANGSCHWAGER
Authorized Official First Name:
HANS
Authorized Official Middle Name:
ALBRECHT
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
727-785-7402

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME85782 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3888349 . This is a "CIGNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 120370 . This is a "HUMANA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 71620 . This is a "BLUE CROSS BLUE SHIELD FL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 7441517 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: DC4802 . This is a "GROUP MEDICARE RAILROAD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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