Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Scott Alan Lange, PA

Individual provider Surgical Physician Assistant · NPI 1104801315

Mr. Scott Alan Lange, PA is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2002, 24 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Oregon, Pennsylvania and Utah.

Years since qualifying
24
Licensed in
OR, PA, UT
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1250 S Cedar Crest Blvd Ste 310
Allentown, PA 18103-6381
Phone: (610) 402-6890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 30 Monument Rd Ste 1100, York, PA 17403-5024 — (717) 851-6454
  • 1134 N 500 W, Provo, UT 84604-3383 — (801) 357-7081

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MA066360 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00880 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 6224324-1206 (UT)

Record details

NPI number1104801315
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 9, 2005
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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