DR. EDWARD MICHAEL LANE (NPI# 1033140876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033140876 |
| Entity Type | Individual |
| Full Name | DR. EDWARD MICHAEL LANE |
| Credential | MD |
| Practice Address |
4675 Main Street Bridgeport CT 06606 |
| Mailing Address |
300 George St Fl 6 New Haven CT 06511-6624 |
| Practice Telephone | 2033720009 |
| Practice Fax Number | 2033727931 |
| Mailing Telephone | 2037856610 |
| Mailing Fax Number | 2037856414 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 024213 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001242031 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801105077 | Edward Kendrick Lane | Physician Assistant | 4500 E 9th Ave Ste 450, Denver, CO 80220-3933 | 2010-10-05 |
| 1467522474 | Edward Sidney Lane II | Dentist | 5565 Murray Rd, Memphis, TN 38119-3879 | 2006-11-08 |
| 1013023738 | Edward Lane | Family Medicine | 820 Memorial St Ste 1, Prosser, WA 99350-2504 | 2006-08-23 |
| 1881700342 | Edward J Lane | Family Medicine | 7901 Diley Rd, Suite 200, Canal Winchester, OH 43110 | 2006-08-21 |
| 1700886348 | Edward G Lane | Emergency Medicine | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2005-07-26 |
| Street Address |
4675 MAIN STREET |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154661726 | Carrie Lynn Foy | Audiologist | 4675 Main Street, Bridgeport, CT 06606 | 2013-02-19 |
| 1083886030 | Anthony G Santomauro Md | Obstetrics & Gynecology | 4675 Main Street, Bridgeport, CT 06606 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427376334 | Anthony J. Vallone, Md, PC | Otolaryngology | 4718 Main St, Bridgeport, CT 06606-1823 | 2010-05-17 |
| 1306031828 | Stephen D. Breda Md Facs PC | Otolaryngology | 4695 Main St 1, Suite 1, Bridgeport, CT 06606-1331 | 2007-09-07 |
| 1275592834 | Dianne Duffey | Otolaryngology | 1635 Central Ave, Bridgeport, CT 06610-2717 | 2006-03-22 |
| 1326277187 | Clarksburg Ent - Uha | Otolaryngology | 700 Genesis Blvd, Bridgeport, WV 26330-9668 | 2009-07-14 |
| 1578733655 | United Hospital Center, Inc | Otolaryngology | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2008-03-05 |
| 1700063013 | Edward M Lane Md PC | Otolaryngology | 4675 Main St, Bridgeport, CT 06606-1813 | 2008-01-29 |
| 1760676696 | Sara Richer | Otolaryngology | 2800 Main St, Department of Surgery, Bridgeport, CT 06606-4201 | 2007-09-04 |
| 1447457825 | Kevin S Oxley | Otolaryngology | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2007-06-29 |
| 1265519680 | Daniel James Merenda | Otolaryngology | 527 Medical Park Dr Ste 501, Bridgeport, WV 26330-9010 | 2006-11-01 |
| 1497847651 | James Lee Bryant II | Otolaryngology | 527 Medical Park Drive, Suite 501, Bridgeport, WV 26330 | 2006-09-28 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.