DEBRA A LANE (NPI# 1740231646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740231646 |
Entity Type | Individual |
Full Name | DEBRA A LANE |
Credential | MD |
Practice Address |
657 E Broadway Blvd Healthstar Physicians Ste C Jefferson City TN 37760 |
Practice Telephone | 8654759062 |
Practice Fax Number | 8654759063 |
Mailing Telephone | 8654759062 |
Mailing Fax Number | 8654759063 |
Enumeration Date | 2006-05-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | MD40163 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3333808 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487150215 | Debra Lane | Psychologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-04-02 |
1457863011 | Debra Lynn Lane | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2017-11-03 |
Street Address |
657 E BROADWAY BLVD HEALTHSTAR PHYSICIANS STE C |
City | JEFFERSON CITY |
State | TN |
Zip Code | 37760 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639129323 | Aqueel M Kouser | Internal Medicine | 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4948 | 2006-05-11 |
1073979522 | Jeff City Pharmacist Group LLC Dba Md Pharmacy Store 2 | Pharmacy | 657 E Broadway Blvd, Jefferson City, TN 37760 | 2016-01-13 |
1205226032 | Healthstar Physicians, PC | Internal Medicine | 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4948 | 2015-02-02 |
1528317054 | Miranda Hickle | Nurse Practitioner | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 | 2012-08-30 |
1487961173 | Mountain View Pediatrics and Internal Medicine | Clinic/Center | 657 E Broadway Blvd, Jefferson City, TN 37760-4948 | 2010-09-02 |
1689846271 | Patricia Annette Waddell | Nurse Practitioner | 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4948 | 2008-03-24 |
1285788323 | Steven Todd Sheedlo | Emergency Medicine | 657 E Broadway Blvd, Ste. C, Jefferson City, TN 37760 | 2007-01-23 |
1902820624 | Laura Kraus | Pediatrics | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 | 2006-07-26 |
1902822588 | Optimus Health Center, Inc. | Physical Therapist | 657 E Broadway Blvd, Jefferson City, TN 37760-4906 | 2006-07-15 |
1235178047 | Mathew T Kraus | Internal Medicine | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 | 2006-06-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
Find all providers in zip 37760 |
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 |
---|---|---|---|---|
1215343769 | Jeffrey Lynn Teeter | Family Medicine | 3121 Emerald Ln Ste 800, Jefferson City, MO 65109-6843 | 2014-07-05 |
1770925794 | Amanda M Vickers | Family Medicine | 3527 W Truman Blvd Ste 100, Jefferson City, MO 65109-5902 | 2013-07-18 |
1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
1972742807 | Greggory M Kuhlmann | Family Medicine | 3308 W Edgewood Dr Ste A, Jefferson City, MO 65109-6891 | 2009-02-17 |
1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
1558551358 | Michael Eugene Sands | Family Medicine | 1500 Southwest Blvd Ste D, Jefferson City, MO 65109-2472 | 2007-07-27 |
1396886065 | Ssm Regional Health Services | Family Medicine | 2511 W Edgewood Dr Ste G, Jefferson City, MO 65109-5869 | 2007-02-08 |
1780724922 | Capital Family Care | Family Medicine | 1500 Southwest Blvd Ste B, Jefferson City, MO 65109-2472 | 2007-02-07 |
1528116910 | Primary Care Medicine PC | Family Medicine | 2709 Industrial Dr Ste A, Jefferson City, MO 65109-0769 | 2007-01-08 |
1285714691 | Neal Gerard Lapointe | Family Medicine | 420 E High St, Jefferson City, MO 65101-3215 | 2006-10-17 |
Find all providers in JEFFERSON CITY |
City | JEFFERSON CITY |
Zip Code | 37760 |
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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.