DR. DAVID ALLEN LANE (NPI# 1053312249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053312249 |
| Entity Type | Individual |
| Full Name | DR. DAVID ALLEN LANE |
| Credential | M.D. |
| Practice Address |
1 Jarrett White Road Headquarters Unit, Tripler Army Medical Center Honolulu HI 96859-5000 |
| Practice Telephone | 8084335781 |
| Mailing Telephone | 8084335781 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2010-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD-051174-L | PA | Allopathic & Osteopathic Physicians |
| Y | 171000000X | Military Health Care Provider | MD-051174-L | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779463 | David Hubbell Lane | Driver | 712 Ashbury St, San Francisco, CA 94117-4014 | 2020-01-15 |
| 1447601273 | David Lane | Dentist | 95 Old Dixie Hwy Ste A, Adairsville, GA 30103-2044 | 2016-06-22 |
| 1265788988 | David M. Lane | Veterinarian | 1023 County Road 700 E, Albion, IL 62806-4438 | 2012-07-31 |
| 1821236688 | David Holt Lane | Anesthesiology | 50 Interlachen Ln, Excelsior, MN 55331-9469 | 2009-01-30 |
| 1295927176 | David Lane | Occupational Therapy Assistant | 19 Briarmist Ct, O Fallon, MO 63366-6318 | 2007-08-14 |
| 1225138100 | David R Lane | Chiropractor | 75 E 600 S, Brigham City, UT 84302-3227 | 2006-09-22 |
| 1346343407 | David Forrest Lane | Dentist | 1855 Crane Ridge Drive, Suite D, Jackson, MS 39216 | 2006-09-06 |
| 1114979440 | David L Lane | Family Medicine | Building 160 Dogwood Avenue, Mountain Home, TN 37684 | 2006-05-16 |
| 1871155739 | David Lane | Dentist | 370 Kings Mall Ct, Kingston, NY 12401-1576 | 2019-07-01 |
| 1083273106 | David Shelton Lane | Licensed Practical Nurse | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2019-06-12 |
| Street Address |
1 JARRETT WHITE ROAD HEADQUARTERS UNIT, TRIPLER ARMY MEDICAL CENTER |
| City | HONOLULU |
| State | HI |
| Zip Code | 96859-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533136 | Lasheika Banks | Registered Nurse | 1 Jarrett White Road, Honolulu, ID 96707 | 2019-11-21 |
| 1154776870 | Franchesca Moreau Desriviere | Midwife | 1 Jarrett White Road, Honolulu, HI 96859 | 2016-05-01 |
| 1114279361 | Jason C Metz | Psychologist | 1 Jarrett White Road, Tripler Army Medical Center, Honolulu, HI 96859 | 2012-10-12 |
| 1932465291 | Linda C Ross | Psychologist | 1 Jarrett White Road, Honolulu, HI 96207 | 2012-04-11 |
| 1821360496 | Jessica M Harmon | Psychologist | 1 Jarrett White Road, Psychology, Tamc, Honolulu, HI 96814 | 2012-01-30 |
| 1497043376 | Stephanie C Fournier | Physical Therapist | 1 Jarrett White Road, Honolulu, HI 96859 | 2011-07-13 |
| 1407159189 | Amy Renee Beasley | Nurse Anesthetist, Certified Registered | 1 Jarrett White Road, Tripler Army Medical Center, Honolulu, HI 96859 | 2010-12-17 |
| 1750612768 | Priscilla Rodriguez | Physician Assistant | 1 Jarrett White Road, Neurosurgery Clinic, Honolulu, HI 96859-5000 | 2010-01-15 |
| 1154560076 | Tarita Hughes | Registered Nurse | 1 Jarrett White Road, Honolulu, HI 96859 | 2009-02-17 |
| 1548408354 | Benjaman Wunderlich | Dietitian, Registered | 1 Jarrett White Road, Honolulu, HI 96859-5000 | 2009-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408543 | Hung Tran | Military Health Care Provider | 1897 Ranger Loop, Bldg 184, Honolulu, HI 96818-5072 | 2019-10-10 |
| 1376612010 | Heidi Marie Ronnfeldt | Military Health Care Provider | 400 Sand Island Pkwy, Honolulu, HI 96819-4326 | 2006-11-07 |
| 1326013319 | Yang-en Kao | Military Health Care Provider | 1 Jarrett White Road, Tripler Army Medical Center, Honolulu, HI 96859 | 2006-02-22 |
| 1619968534 | Karen Burmeister | Military Health Care Provider | Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859-5000 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702327 | Brett Kaplan | Military Health Care Provider | Desmond Doss Health Clinic, Building 683 (3rd Battalion Clinic), Schofield Barracks, HI 96876 | 2018-06-03 |
| 1710488614 | Corey J Badgett | Military Health Care Provider | 490 Central Ave, Pearl Harbor, HI 96860-4958 | 2018-02-26 |
| 1548439078 | Charles E Bilbo | Military Health Care Provider | 91-1184 Lukahiu Pl, Ewa Beach, HI 96706-4503 | 2008-02-28 |
| 1871785295 | Ronald Walter Sowa | Military Health Care Provider | 1370 Hiahia St, Wailuku, HI 96793-9700 | 2007-08-10 |
| 1578521670 | Lam H. Le | Military Health Care Provider | 98-1024 Palula Way, Aiea, HI 96701-2823 | 2006-05-01 |
| 1326029000 | Sherrie Sue Woods | Military Health Care Provider | 91-1680 Alaiki St, Ewa Beach, HI 96706-2000 | 2005-11-09 |
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1679181291 | Ben Chu | Military Health Care Provider | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-20 |
| 1881151348 | Catherine Moulton | Military Health Care Provider | 490 Central Ave, Jbphh, HI 96860-4958 | 2019-02-20 |
| 1548639115 | Pollyanna Palhano | Military Health Care Provider | 480 Central Ave, Naval Health Clinic Hawaii, Pearl Harbor, HI 96860-4908 | 2015-09-24 |
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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.