DR. JENNIFER MARY LANE (NPI# 1215920301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215920301 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MARY LANE |
| Credential | M.D. |
| Practice Address |
170 Governors Ave Suite 100 Medford MA 02155-1643 |
| Practice Telephone | 7813066166 |
| Practice Fax Number | 7813066168 |
| Mailing Telephone | 7813066166 |
| Mailing Fax Number | 7813066168 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2012-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 247127 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922499821 | Jennifer Marie Lane | Chiropractor | 2445 Ne Division St Ste 101, Bend, OR 97703-3568 | 2015-02-12 |
| 1104221787 | Jennifer Lane | Behavioral Analyst | 1210 Foxcroft Rd, Henrico, VA 23229-5904 | 2014-10-25 |
| 1992056477 | Jennifer Franel Lane | Veterinarian | 4455 Mariner Rd, Bonita Springs, FL 34134-3964 | 2012-09-25 |
| 1245465046 | Jennifer Ann Lane | Speech-Language Pathologist | 963 Timber Glen Ln, Ballwin, MO 63021-6069 | 2009-05-22 |
| 1194980383 | Jennifer Cherry Lane | Optometrist | 12130 Jefferson Avenue, Newport News, VA 23602 | 2008-07-28 |
| 1811158652 | Jennifer Good Lane | Dentist | 4 Vanderbilt Park Dr Ste 210, Asheville, NC 28803-1759 | 2008-06-24 |
| 1336331719 | Jennifer Lane | Family Medicine | 357 Riverside Dr Ste 260, Franklin, TN 37064-8974 | 2007-08-09 |
| 1669670717 | Jennifer Anne Lane | Occupational Therapy Assistant | 4255 Beetow Dr, Hamburg, NY 14075-1502 | 2007-07-10 |
| 1356321905 | Jennifer Sue Lane | Audiologist | 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | 2006-01-19 |
| 1689205239 | Jennifer Julianne Lane | Case Manager/Care Coordinator | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2020-02-03 |
| Street Address |
170 GOVERNORS AVE SUITE 100 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290467 | Melrosewakefield Healthcare, Inc. | General Acute Care Hospital | 170 Governors Ave, Medford, MA 02155-1643 | 2005-07-26 |
| 1255964391 | Hallmark Health Medical Associates Inc | Psychologist | 170 Governors Ave, Medford, MA 02155-1643 | 2020-02-18 |
| 1205473592 | Melrosewakefield Healthcare, Inc. | Clinic/Center | 170 Governors Ave, Medford, MA 02155-1643 | 2019-12-05 |
| 1801431754 | John Norcross | Occupational Therapist | 170 Governors Ave, Medford, MA 02155-1643 | 2019-11-14 |
| 1770029670 | Kayla Rose | Registered Nurse | 170 Governors Ave, Medford, MA 02155-1643 | 2017-01-16 |
| 1326403809 | Ying Ma | Nurse Practitioner | 170 Governors Ave, Medford, MA 02155-1643 | 2015-12-28 |
| 1396143624 | Laurie Young | Nurse Practitioner | 170 Governors Ave, Medford, MA 02155-1643 | 2014-12-19 |
| 1912325754 | Yesodarao and Associates LLC | Internal Medicine | 170 Governors Ave, Medford, MA 02155-1643 | 2014-03-30 |
| 1124364872 | Andrea Messina | Nurse Practitioner | 170 Governors Ave, Medford, MA 02155-1643 | 2012-12-28 |
| 1124362389 | Michelle Vidal | Social Worker | 170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643 | 2012-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871740787 | Milton W Kim | Surgery | 746 Marshall Ave, Medford, OR 97501-4017 | 2008-08-21 |
| 1811078132 | John Clifton Brawner | Surgery | 1297 Gardner Way, Medford, OR 97504-9300 | 2006-10-17 |
| 1831100262 | Erik T Branstetter | Surgery | 143 S Gibson St, Medford, WI 54451-1622 | 2006-08-10 |
| 1477593713 | Juan C Vasquez | Surgery | 1698 E Mcandrews Rd Ste 160, Medford, OR 97504-5590 | 2006-06-07 |
| 1720063142 | Charles D Allen | Surgery | 49 Governors Ave, Medford, MA 02155-3017 | 2005-12-08 |
| 1568789527 | Hallmark Health Medical Associates Inc | Surgery | 170 Governors Ave, Attn: Provider Enrollment-hhma (3) Contact, Medford, MA 02155-1643 | 2010-04-29 |
| 1861677460 | Ronald G Worland | Surgery | 2959 Siskiyou Blvd, Ste A, Medford, OR 97504-8131 | 2008-01-02 |
| 1316131279 | Wie-peng Kuo | Surgery | 1698 E Mcandrews Rd, Suite 160, Medford, OR 97504-5589 | 2007-09-04 |
| 1144412529 | Patrick Joseph Phelan | Surgery | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2007-08-09 |
| 1457555237 | Mitchell Martin Plummer | Surgery | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2007-06-13 |
| Find all providers in MEDFORD | ||||
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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.