DR. DAVID L LANE (NPI# 1114979440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114979440 |
| Entity Type | Individual |
| Full Name | DR. DAVID L LANE |
| Credential | M,D. |
| Practice Address |
Building 160 Dogwood Avenue Mountain Home TN 37684 |
| Mailing Address |
197 Overhill Dr Jonesborough TN 37659-4347 |
| Practice Telephone | 4239261171 |
| Practice Fax Number | 4239793507 |
| Mailing Telephone | 4239261171 |
| Mailing Fax Number | 4239793507 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD11896 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE LICENSE | 0101028936 | 01 |
| TN | STATE LICENSE | MD0000011896 | 01 |
| 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 |
| 1053312249 | David Allen Lane | Family Medicine | 1 Jarrett White Road, Headquarters Unit, Tripler Army Medical Center, Honolulu, HI 96859-5000 | 2005-08-10 |
| 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 |
BUILDING 160 DOGWOOD AVENUE |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205270949 | Relief Center, LLC | Family Medicine | 40 Plaza Way Ste 30, Mountain Home, AR 72653-9083 | 2013-04-24 |
| 1841533932 | Alex Qader | Family Medicine | Bldg.160 Mountain Home, Mountain Home, TN 37684 | 2013-03-27 |
| 1770628471 | James Andrew Warr | Family Medicine | 405 Buttercup Drive, Mountain Home, AR 72653-2910 | 2007-02-20 |
| 1831206135 | Richard Frederick Starkey | Family Medicine | 805 N 6th E, Mountain Home, ID 83647-2207 | 2006-08-23 |
| 1760426746 | John T Leslie | Family Medicine | 675 Highway 62 E, Mountain Home, AR 72653-3207 | 2006-06-16 |
| 1225087398 | Mountain-home Medical Group, Pa | Family Medicine | 353 East 8th Street, Mountain Home, AR 72653 | 2006-05-08 |
| 1710935341 | Susanne Toyne | Family Medicine | Corner of Sidney and Lamont, Mountain Home, TN 37684-4000 | 2006-05-05 |
| 1144294992 | Edward L White | Family Medicine | 614 Northtown, Mountain Home, AR 72653-3105 | 2006-02-16 |
| 1356311617 | Kevin J Adkins | Family Medicine | 614 North Town, Mountain Home, AR 72653-3105 | 2006-01-26 |
| 1518941517 | Jack Cook Wilson | Family Medicine | 612 E 9th St, Mountain Home, AR 72653-4804 | 2005-12-02 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
Please comment or provide details below to improve the information on DR. DAVID L LANE.
| 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.