GARY E LANE (NPI# 1841282498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841282498 |
| Entity Type | Individual |
| Full Name | GARY E LANE |
| Credential | M.D. |
| Practice Address |
1925 E Orman Ave Suite A109 Pueblo CO 81004-3537 |
| Practice Telephone | 7195640210 |
| Practice Fax Number | 7195649483 |
| Mailing Telephone | 7195640210 |
| Mailing Fax Number | 7195649483 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2014-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35242 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01352426 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510333 | Gary Lane | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-03 |
| Street Address |
1925 E ORMAN AVE SUITE A109 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518385632 | Chafonta Laniece Whatley | Nurse Practitioner | 1925 E Orman Ave, Suite A235, Pueblo, CO 81004-3537 | 2014-04-04 |
| 1083988091 | Moira Annette Sergejev | Nurse Practitioner | 1925 E Orman Ave, Suite 440, Pueblo, CO 81004-3537 | 2012-03-08 |
| 1770733743 | Mallikarjuna Nallegowda | Pain Medicine | 1925 E Orman Ave, Suite A-235, Pueblo, CO 81004-3537 | 2008-09-25 |
| 1831351303 | David Boyd Cox | Surgery | 1925 E Orman Ave, Suite 357, Pueblo, CO 81004-3537 | 2008-06-26 |
| 1588826259 | Eugene D. Chen, Md. Pllc | Surgery | 1925 E Orman Ave, Pueblo, CO 81004-3537 | 2008-06-25 |
| 1790975043 | Pamela Joy Cornella | Nurse Practitioner | 1925 E Orman Ave, A640, Pueblo, CO 81004-3537 | 2007-08-01 |
| 1669681581 | Heritage Internal Medicine, PC | Internal Medicine | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3537 | 2007-05-21 |
| 1457483067 | Roxann D Murphy | Hearing Instrument Specialist | 1925 E Orman Ave, Suite 357, Pueblo, CO 81004-3537 | 2007-03-09 |
| 1205987583 | Christian G Hulett | Internal Medicine | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3537 | 2007-01-15 |
| 1447301791 | Thomas K Gaide | Internal Medicine | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3537 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| 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 |
|---|---|---|---|---|
| 1205220530 | Priscilla Nobecourt | Surgery | 1600 N Grand Ave Ste 430, Pueblo, CO 81003-2760 | 2015-03-25 |
| 1881959005 | Srikant Sivaraman | Surgery | 1401 Court Street, Pueblo, CO 81003-2715 | 2012-07-13 |
| 1730220278 | Sandeep Suresh Vijan | Surgery | 1600 North Grand Ave. Suite 430, Pueblo, CO 81003-2760 | 2007-02-09 |
| 1851482665 | John Charles Dugal Jr. | Surgery | 1600 North Grand Ave., Suite 500, Pueblo, CO 81003-2757 | 2006-09-27 |
| 1023056173 | Paul Raymond Radway | Surgery | 3506 San Jose Ct, Pueblo, CO 81005-3916 | 2006-06-02 |
| 1164499976 | Lonnie L Imlay | Surgery | 1925 E. Orman Ave., Suite A109, Pueblo, CO 81004 | 2006-03-01 |
| 1164412862 | Kenneth Madsen | Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2005-10-24 |
| 1457354763 | Hisman H Percival | Surgery | 1600 N Grand Ave, Suite 430, Pueblo, CO 81003-2700 | 2005-05-31 |
| 1285276683 | Parkview Ancillary Services | Surgery | 1600 N. Grand Ave., Ste 345, Pueblo, CO 81003-2762 | 2019-10-17 |
| 1679937353 | James Mccullough | Surgery | 902 Lakeview Ave, Pueblo, CO 81004-3597 | 2016-04-08 |
| Find all providers in PUEBLO | ||||
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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.