MR. SCOTT ALAN LANGE PA
NPI 1104801315
Physician Assistant - Surgical in Allentown, PA

Q: What is Scott Lange's NPI number?

The NPI number for Scott Lange is 1104801315. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Q: What is Scott Lange's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Scott Lange was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 09, 2005PECOS Enrolled

1250 S CEDAR CREST BLVD STE 310, ALLENTOWN, PA 18103(610) 402-6890 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Apr 8, 2022 (2 updates tracked since 2022).

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About Mr. Scott Alan Lange Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SCOTT ALAN LANGE PA (NPI 1104801315) is an individual surgical provider in Allentown, Pennsylvania, licensed in Pennsylvania (MA066360) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104801315

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. SCOTT ALAN LANGECredential: PA

Location Address1250 S CEDAR CREST BLVD STE 310Allentown, PA 18103-6381

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-7081

Phone(610) 402-6890

Sole ProprietorNo

Enumeration DateDecember 9, 2005

Last NPPES UpdateJune 9, 20262 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1104801315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in PA · MA066360✔ Licensed in OR · PA00880✔ Licensed in UT · 6224324-1206

1250 S CEDAR CREST BLVD STE 310, Allentown, PA 18103

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Secondary Practice Locations 2

Location 11134 N 500 W, Suite 100Provo, UT 84604-3383 · Phone (801) 357-7081

Location 230 Monument Rd Ste 1100York, PA 17403-5024 · Phone (717) 851-6454 · Fax (717) 851-1665

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Scott Alan Lange Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUYEN U NGUYEN CRNP

Nurse Practitioner (Critical Care Medicine)