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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35049505 | OH | Allopathic & Osteopathic Physicians |
Street Address |
23250 CHAGRIN BLVD 110 |
City | BEACHWOOD |
State | OH |
Zip Code | 44122-5470 |
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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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 Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
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. |
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 |
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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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.