EDWARD M LANE MD PC (NPI# 1700063013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700063013 |
Entity Type | Organization |
Organization Name | EDWARD M LANE MD PC |
Practice Address |
4675 Main St Bridgeport CT 06606-1813 |
Practice Telephone | 2033720009 |
Practice Fax Number | 2033727931 |
Mailing Telephone | 2033720009 |
Mailing Fax Number | 2033727931 |
Enumeration Date | 2008-01-29 |
Last Update Date | 2013-05-13 |
Authorized Official Name | MS. IZAMARI GARCIA (MANAGER) |
Authorized Official Telephone | 2033720009 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 024203 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | INDIVIDUAL NPI | 1033140876 | 01 |
CT | ORGANIZATIONAL NPI | 1700063013 | 01 |
CT | 001242031 | 05 |
Street Address |
4675 MAIN ST |
City | BRIDGEPORT |
State | CT |
Zip Code | 06606-1813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285630798 | William James Rockwell | Allergy & Immunology | 4675 Main St, Bridgeport, CT 06606-1813 | 2005-06-21 |
1619577103 | Gena Fuller | Specialist/Technologist | 4675 Main St, Bridgeport, CT 06606-1813 | 2020-10-26 |
1578726956 | Cardiology Physicians, P.C. | Internal Medicine | 4675 Main St, Bridgeport, CT 06606-1813 | 2008-07-07 |
1235353426 | Allergy Center of Connecticut, P.C. | Allergy & Immunology | 4675 Main St, Bridgeport, CT 06606-1813 | 2007-04-12 |
1508969197 | Salvatore Anthony Pace | Obstetrics & Gynecology | 4675 Main St, Bridgeport, CT 06606 | 2006-09-07 |
1588687131 | Jacqueline Ann Young | Advanced Practice Midwife | 4675 Main St, Bridgeport, CT 06606-1813 | 2006-07-25 |
1013935642 | Brian Marsh | Physical Therapist | 4675 Main St, Bridgeport, CT 06606-1813 | 2006-07-18 |
1780602466 | Sweta Makadia | Physical Therapist | 4675 Main St, Bridgeport, CT 06606-1813 | 2006-07-18 |
1225064447 | Michele Diane Koleszar | Obstetrics & Gynecology | 4675 Main St, Bridgeport, CT 06606-1813 | 2006-06-23 |
1669413845 | Connecticut Physical Therapy | Clinic/Center | 4675 Main St, Bridgeport, CT 06606-1813 | 2006-06-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
Find all providers in zip 06606 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427376334 | Anthony J. Vallone, Md, PC | Otolaryngology | 4718 Main St, Bridgeport, CT 06606-1823 | 2010-05-17 |
1306031828 | Stephen D. Breda Md Facs PC | Otolaryngology | 4695 Main St 1, Suite 1, Bridgeport, CT 06606-1331 | 2007-09-07 |
1033140876 | Edward Michael Lane | Otolaryngology | 4675 Main Street, Bridgeport, CT 06606 | 2006-07-06 |
1275592834 | Dianne Duffey | Otolaryngology | 1635 Central Ave, Bridgeport, CT 06610-2717 | 2006-03-22 |
1326277187 | Clarksburg Ent - Uha | Otolaryngology | 700 Genesis Blvd, Bridgeport, WV 26330-9668 | 2009-07-14 |
1578733655 | United Hospital Center, Inc | Otolaryngology | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2008-03-05 |
1760676696 | Sara Richer | Otolaryngology | 2800 Main St, Department of Surgery, Bridgeport, CT 06606-4201 | 2007-09-04 |
1447457825 | Kevin S Oxley | Otolaryngology | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2007-06-29 |
1265519680 | Daniel James Merenda | Otolaryngology | 527 Medical Park Dr Ste 501, Bridgeport, WV 26330-9010 | 2006-11-01 |
1497847651 | James Lee Bryant II | Otolaryngology | 527 Medical Park Drive, Suite 501, Bridgeport, WV 26330 | 2006-09-28 |
Find all providers in BRIDGEPORT |
City | BRIDGEPORT |
Zip Code | 06606 |
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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.