Provider Demographics
NPI:1760869002
Name:LANGKABEL, ABIGAIL M (PA)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:M
Last Name:LANGKABEL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:M
Other - Last Name:HASTINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:679 E COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1049
Mailing Address - Country:US
Mailing Address - Phone:317-885-1250
Mailing Address - Fax:
Practice Address - Street 1:14300 E 138TH ST BLDG A
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-0087
Practice Address - Country:US
Practice Address - Phone:317-890-2000
Practice Address - Fax:317-813-1667
Is Sole Proprietor?:No
Enumeration Date:2015-05-06
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10001870A363A00000X, 363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01512409OtherMEDICARE RR
INOPRMedicaid
IN10001870AOtherINDIANA PA LICENSE
IN266180573Medicare PIN