Provider Type Icon

FRED HAGEN LANINGHAM MD NPI 1962405753


NPI Information

NPI: 1962405753
Provider Name: FRED HAGEN LANINGHAM, MD
Classification: Radiology - 2085P0229X
Entity Type: Individual

Specialization: Pediatric Radiology

PECOS Registration: Yes

Address:
725 WELCH RD
PALO ALTO, CA
ZIP 94304
Phone: (650) 497-8000
Get Directions

Fred Hagen Laningham, MD is a pediatric radiology radiology in Palo Alto, CA with 33 years of experience. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. Fred Hagen Laningham, MD NPI is 1962405753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1991

The provider's business location address is:

725 WELCH RD
PALO ALTO, CA
ZIP 94304-601
Phone: (650) 497-8000

The NPI 1962405753 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 4/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology29598TENNESSEENo
22085R0202XRadiologyDiagnostic RadiologyG75723CALIFORNIANo
32085P0229XRadiologyPediatric RadiologyG75723CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G75723MEDICAIDCALIFORNIA
2100249677-00MEDICAIDNEBRASKA
30547182MEDICAIDIOWA
4200347310AMEDICAIDKANSAS
50030911MEDICAIDNEW JERSEY
600124209MEDICAIDMISSISSIPPI
7104677750MEDICAIDMICHIGAN
8143636001MEDICAIDARKANSAS
9422400000MEDICAIDMAINE
100089692MEDICAIDMONTANA
11218597956AMEDICAIDGEORGIA
123863255MEDICAIDTENNESSEE
137613057MEDICAIDNORTH CAROLINA
14009975820MEDICAIDALABAMA
151110990MEDICAIDLOUISIANA
16200354520AMEDICAIDINDIANA
17205329717MEDICAIDMISSOURI
1864044696MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.