Look up the most recent NPI and PECOS records

Kathleen Marie Langan

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

PECOS Enrollment

This provider is enrolled in PECOS as KATHLEEN LANGAN.

Based on the most recent information from CMS, provider Kathleen Marie Langan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1538455001
Provider Type
Individual
Full Name
Langan, Kathleen Marie
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/23/2011
Last Updated
11/27/2023

Contact Information

Practice Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

Unlisted Fax

Mailing Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0116024019 Virginia

Kathleen Marie Langan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Maxwell, Jamison

Givens, Nathan Thomas

Ebadi, Ali Yashar

Mehta, Julie

Murray, David Tyler

Huffstetler, Alison

Ibrahim, Sandy F

Kerrigan, Michael

Jones, Samuel Moseley

Towne, William Edwin