BRANDON LANE (NPI# 1689606667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689606667 |
| Entity Type | Individual |
| Full Name | BRANDON LANE |
| Credential | PA |
| Practice Address |
1717 Arlington Ave Caldwell ID 83605-4802 |
| Mailing Address |
818 Mckinley St Boise ID 83712-6416 |
| Practice Telephone | 2084594641 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | PA-413 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508078932 | Brandon Lane | Emergency Medicine | 5045 N Delmar Dr, Sand Springs, OK 74063-5409 | 2007-05-06 |
| 1396367264 | Brandon Allen Lane | Physical Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2020-05-13 |
| 1851730782 | Brandon Cole Lane | Neurological Surgery | 340 W 10th St Ste 6200, Indianapolis, IN 46202-3082 | 2013-06-25 |
| 1073847935 | Brandon S Lane | Counselor | 3017 W Charleston Blvd, Suite 70, Las Vegas, NV 89102-1941 | 2009-09-25 |
| Street Address |
1717 ARLINGTON AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992767800 | West Valley Lifeline Services | Durable Medical Equipment & Medical Supplies | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2006-04-05 |
| 1881204261 | Obhg Idaho PC | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-07-31 |
| 1578187563 | Carepoint Health Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-06-04 |
| 1578103180 | David Michael Calley | Pharmacist | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-01-11 |
| 1285275461 | Carepoint Health Emergency Medicine Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-09-30 |
| 1205489978 | Kimereng Kipchumba Kipsuge | Nurse Practitioner | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-07-22 |
| 1609357003 | Sarina L Folwell | Registered Nurse | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2018-08-23 |
| 1164936720 | West Valley Medical Associates Inc | Internal Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-11-18 |
| 1962932343 | Derek Carl Bronson | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-06-18 |
| 1629425707 | Hospital Medicine Associates of Idaho PC | Family Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548798879 | Ideal Option, Pllc | Emergency Medicine | 3110 Cleveland Blvd Bldg A, Caldwell, ID 83605-0718 | 2017-05-31 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1225066541 | Joseph Bennett Jones | Emergency Medicine | 11410 County Road 311, Caldwell, TX 77836 | 2006-06-28 |
| 1548219801 | Muhammad Idrees Khan | Emergency Medicine | 1101 Woodson Dr, Caldwell, TX 77836-1052 | 2006-05-06 |
| 1881204261 | Obhg Idaho PC | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-07-31 |
| 1578187563 | Carepoint Health Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2020-06-04 |
| 1285275461 | Carepoint Health Emergency Medicine Idaho, Pllc | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2019-09-30 |
| 1861837965 | Natalya B Izakov | Emergency Medicine | 105 Roseland Ave, Unit 1104, Caldwell, NJ 07006-5943 | 2013-05-02 |
| 1033384201 | Brian W Moss | Emergency Medicine | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2008-04-28 |
| 1902816952 | Joseph N. Piper | Emergency Medicine | 1101 Woodson Dr, Caldwell, TX 77836-1052 | 2006-08-09 |
| Find all providers in CALDWELL | ||||
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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.