DR. MODISH JEAN LANE


Address: 23250 Chagrin Blvd, 110, Beachwood, OH 44122-5470
Phone: 2165911862

DR. MODISH JEAN LANE (NPI# 1851430417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851430417
Entity Type Individual
Full Name DR. MODISH JEAN LANE
Credential M.D.
Practice Address 23250 Chagrin Blvd
110
Beachwood
OH 44122-5470
Practice Telephone 2165911862
Practice Fax Number 2165919399
Mailing Telephone 2165911862
Mailing Fax Number 2165919399
Enumeration Date 2007-02-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
35049505 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 23250 CHAGRIN BLVD
110
City BEACHWOOD
State OH
Zip Code 44122-5470

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508869322 Terrence A. Messerman Dentist 23250 Chagrin Blvd, Ste 355, Beachwood, OH 44122-5412 2005-05-24
1528504024 Susan Elliott Blashka Counselor 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2017-01-09
1952855546 Taylor Adams Counselor 23250 Chagrin Blvd, Beachwood, OH 44122-5470 2016-08-11
1275904138 Kathy Biarsky Counselor 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2015-10-16
1912385659 Heather Greene Counselor 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2015-05-14
1962897660 Jordan Eaton Marriage & Family Therapist 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2015-03-31
1720407653 Ilana Wolfson Nutritionist 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2014-04-08
1225463466 Ishani Ticinelli Psychologist 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2013-09-06
1710223490 Vanessa Fremont Social Worker 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2012-12-27
1760739080 Erin Forehand Psychologist 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2012-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760083174 Sophia Denise Moncrieffe-jordan Nurse Practitioner 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 2020-11-03
1447864400 Resilient Bodies LLC Massage Therapist 24300 Chagrin Blvd #312, Beachwood, OH 44122 2020-09-06
1215576087 Hni Emergency Services of Ohio, LLC Nurse Practitioner 22501 Chagrin Blvd, Beachwood, OH 44122 2019-12-27
1013555648 Barbara L Ekelman Phd Inc Psychologist 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 2019-12-13
1417599770 Janise Moore Technician 19600 Gladstone Rd, Warrensville Hts, OH 44122 2019-10-08
1598312704 Nizar Andria Student in an Organized Health Care Education/Training Program Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 2019-08-22
1437703998 Malinda Ann Davis Social Worker 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 2019-08-01
1891265864 Karlan Champagne Case Management 23215 Commerence Park, 306, Beachwood, OH 44122 2018-12-03
1952896565 Donna Pinkney Counselor 20550 University Blvd Apt 206, Shaker Hts, OH 44122 2018-06-26
1255825857 Elizabeth Anne Donathan Registered Nurse 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 2018-06-18
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518166909 Arumugam Natesan Internal Medicine 26800 Amhearst Cir, Apt. 108, Beachwood, OH 44122-7570 2007-07-16
1477655959 Emmanuel Chujekwu Okafor Internal Medicine 23250 Chagrin Blvd Ste 110, Beachwood, OH 44122-5416 2006-09-03
1164573317 Trisha Annette Doran Internal Medicine 3700 Park East Dr, Ste 100, Beachwood, OH 44122-4339 2007-01-15
1245239847 Michael H Frankel Internal Medicine 3700 Park East Dr, Suite 100, Beachwood, OH 44122-4339 2005-07-18
1639178163 Gastroenterology Association of Cleveland, Inc. Internal Medicine 3700 Park East Dr, Suite 100, Beachwood, OH 44122-4339 2005-07-18
1285633792 Mario D Kamionkowski Internal Medicine 3700 Park East Dr, Suite 100, Beachwood, OH 44122-4339 2005-07-18
1871592493 Brian M Kirsh Internal Medicine 3700 Park East Dr, Suite 100, Beachwood, OH 44122-4339 2005-07-15
1720087356 Jack S Lissauer Internal Medicine 3700 Park East Dr, Suite 100, Beachwood, OH 44122-4339 2005-07-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043779911 Gregory B Cortese Internal Medicine 32800 Lorain Rd, North Ridgeville, OH 44039-3430 2019-03-19
1619461381 Beth Kulow Internal Medicine 395 W 12th Ave Fl 2, Columbus, OH 43210-1267 2018-06-18
1467961078 Gastro Office LLC Internal Medicine 4600 Leap Ct Ste 101, Hilliard, OH 43026-1171 2017-09-26
1023536687 Specialty Medicine Care, LLC Internal Medicine 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459-3823 2017-09-05
1861925430 Ohio Digestive and Liver Associates LLC Internal Medicine 503 Wooster Rd, Mount Vernon, OH 43050-1486 2017-04-10
1982099370 Michael Kurin Internal Medicine 11100 Euclid Ave Ste 247, Cleveland, OH 44106-1716 2015-04-02
1396140604 Noufal Jajeh Internal Medicine 930 Wapakoneta Ave, Sidney, OH 45365-1460 2014-10-29
1619371580 Specialty Medicine Care, LLC Internal Medicine 1250 W. National Rd, Suite 700, Englewood, OH 45315 2014-10-21
1821417239 Ahmad Nasr Anaizi Internal Medicine 1025 Refugee Rd Fl 1, Pickerington, OH 43147-9861 2014-04-14
1205260890 Columbiana Gastroenterology Group Inc Internal Medicine 235 E State Route 14, Columbiana, OH 44408-8494 2013-08-30
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Competitor

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City BEACHWOOD
Zip Code 44122

Improve Information

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Dataset Information

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.

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