DR. LANE MICHAEL MEYER (NPI# 1689779464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689779464 |
| Entity Type | Individual |
| Full Name | DR. LANE MICHAEL MEYER |
| Credential | M.D. |
| Practice Address |
3605 Mayfair Ave Fairview University Medical Center Mesabi Hibbing MN 55746-2923 |
| Mailing Address |
3605 Mayfair Ave Hibbing MN 55746-2935 |
| Practice Telephone | 2182624881 |
| Mailing Telephone | 2182623441 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
39154 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 0705002 | 05 | |
| MN | DEA | BM9025316 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588729255 | Lane Martin Meyer | Dentist | 9307 Bridgeport Way Sw, Lakewood, WA 98499-1570 | 2006-12-23 |
| Street Address |
3605 MAYFAIR AVE FAIRVIEW UNIVERSITY MEDICAL CENTER MESABI |
| City | HIBBING |
| State | MN |
| Zip Code | 55746-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740054 | Anastas C Provatas | Internal Medicine | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2005-09-20 |
| 1073094850 | Caitlin Leigh Lockard | Physician Assistant | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2018-08-28 |
| 1134572092 | Susan Hoyum | Family Medicine | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2016-07-15 |
| 1417309873 | Jeanne Marie Antonich | Nurse Practitioner | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2016-07-11 |
| 1962860965 | Steven Eldor Breitbarth | Marriage & Family Therapist | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2016-02-04 |
| 1205222833 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2015-04-10 |
| 1992059711 | James C Hooker | Counselor | 3605 Mayfair Ave, Hibbing, MN 55746-2341 | 2012-10-31 |
| 1043569148 | Janean Marie Mccue | Nurse Practitioner | 3605 Mayfair Ave, Fairview Mesaba Clinic, Hibbing, MN 55746 | 2012-09-05 |
| 1003170424 | Dustin Dean Lucarelli | Surgery | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2012-06-29 |
| 1952669525 | Kasey Lynn Kapella | Family Medicine | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2012-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594753 | Brekke Lee Johnsrud | Dentist | 2020 1st Avenue, Hibbing, MN 55746 | 2018-07-04 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1467870485 | Angela Wivoda | Contractor | 302 East Howard Street, Suite 310, Hibbing, MN 55746 | 2014-04-07 |
| 1871897512 | Nicholas G Ongaro | Chiropractor | 4104 9th Ave W, Hibbing, MN 55746 | 2011-01-10 |
| 1689800153 | Kathleen M Delgreco | Social Worker | 3203 W. 3rd Ave, Hibbing, MN 55746 | 2009-06-10 |
| 1962666461 | Sereen Danielle Sharp | Internal Medicine | 3605 Mayfair Avenue, Hibbing, MN 55746 | 2008-07-14 |
| 1790999274 | Raymond N Sampson | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-10 |
| 1598985517 | Renee Cook | Psychiatry & Neurology | 3203 W. 3rd Ave., Range Mental Health Center-perpich Building, Hibbing, MN 55746 | 2007-05-01 |
| 1841318599 | Nathan Pedersen | Dentist | 802 W 42nd St, Hibbing, MN 55746 | 2007-03-27 |
| 1558406355 | Michael John Quirk | Chiropractor | 1406 East 40th St, Hibbing, MN 55746 | 2007-02-20 |
| Find all providers in zip 55746 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142924 | Kevin A Hallman | Obstetrics & Gynecology | 2101 Woodwinds Drive, Suite 300, Woodbury, MN 55125 | 2005-08-30 |
| 1104479609 | Community Birth Group | Obstetrics & Gynecology | 8976 Jenkins Rd, Cotton, MN 55724-8017 | 2019-07-23 |
| 1215325808 | Wildflower Midwifery, Inc. | Obstetrics & Gynecology | 25998 142nd St Nw, Zimmerman, MN 55398-8762 | 2015-01-05 |
| 1659698306 | Paige Josephine Halvorson | Obstetrics & Gynecology | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2010-04-20 |
| 1043453772 | Jolyn Seitz | Obstetrics & Gynecology | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2009-04-10 |
| 1417146713 | Patricia Ann Mills | Obstetrics & Gynecology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2007-10-23 |
| 1881886018 | Meredith Kasbohm | Obstetrics & Gynecology | 6565 France Ave S, Suite 200, Edina, MN 55435-2137 | 2007-08-12 |
| 1255300463 | Susan Benfield | Obstetrics & Gynecology | 153 Cesar Chavez St, W. St. Paul, MN 55107-2226 | 2006-03-17 |
| 1710952114 | Robert H Heise Jr. | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-20 |
| 1245204114 | Jamie N Bakkum-gamez | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-15 |
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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.