DR. MINDY KATHRYN LANE (NPI# 1932190642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932190642 |
| Entity Type | Individual |
| Full Name | DR. MINDY KATHRYN LANE |
| Credential | DO |
| Practice Address |
1540 Lake Lansing Rd Suite 104 Lansing MI 48912-3756 |
| Practice Telephone | 5179134010 |
| Practice Fax Number | 5179134011 |
| Mailing Telephone | 5179134010 |
| Mailing Fax Number | 5179134011 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2009-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 5101013104 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE PLUS BLUE | 0M21440055 | 01 |
| MI | FIRST HEALTH | 1020388 | 01 |
| MI | PHP FAMILYCARE | 200000002269 | 01 |
| MI | 4911173 | 05 | |
| MI | 4311822 | 05 | |
| MI | RAILROAD MEDICARE | P00456403 | 01 |
| MI | MCLAREN HEALTH PLAN-MEDICAID | 1020388 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1020388 | 01 |
| MI | PHP | 200000002269 | 01 |
| MI | BCBS/BCN | 0253302804 | 01 |
| MI | CURANET | 1020388 | 01 |
| MI | MCLAREN HEALTH PLAN-COMMERCIAL | 1020388 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316289002 | Mindy N Lane | Social Worker | 6110 Shallowford Rd, Chattanooga, TN 37421 | 2013-03-21 |
| Street Address |
1540 LAKE LANSING RD SUITE 104 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003805904 | Robert J Wolf | Radiology | 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912-3756 | 2005-10-14 |
| 1215303383 | Kimberly Naert | Registered Nurse | 1540 Lake Lansing Rd, Ste. G05, Lansing, MI 48912-3756 | 2015-08-12 |
| 1033513148 | Edward W Sparrow Hospital Association | Obstetrics & Gynecology | 1540 Lake Lansing Rd, Suite 205, Lansing, MI 48912-3756 | 2014-10-17 |
| 1730519109 | Mary Kosman | Nurse Practitioner | 1540 Lake Lansing Rd, Ste G06, Lansing, MI 48912-3756 | 2013-11-20 |
| 1851735153 | Megan Quinn Thompson | Registered Nurse | 1540 Lake Lansing Rd, Suite 201, Lansing, MI 48912-3756 | 2013-04-18 |
| 1275886392 | Catherine Jo Johnson | Registered Nurse | 1540 Lake Lansing Rd, Lansing, MI 48912-3756 | 2012-10-26 |
| 1861745333 | Ronel Claassens | Occupational Therapist | 1540 Lake Lansing Rd, Suite G-01, Lansing, MI 48912-3756 | 2012-10-22 |
| 1275820300 | Firas Mohammad Riyazuddin | Internal Medicine | 1540 Lake Lansing Rd, Suite 102, Lansing, MI 48912-3756 | 2011-07-10 |
| 1538450226 | Celina Ann Kirsch | Physician Assistant | 1540 Lake Lansing Rd, Suite 103, Lansing, MI 48912-3756 | 2011-04-28 |
| 1356630099 | Malani Marie Gupta | Anesthesiology | 1540 Lake Lansing Rd, Suite G06, Lansing, MI 48912-3756 | 2011-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| 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 |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1457673881 | Anne Evelyn Missavage Md PC | Surgery | 3955 Patient Care Way Ste A, Lansing, MI 48911-4271 | 2010-02-26 |
| 1194953976 | Jordan Neff Baker | Surgery | 401 W. Greenlawn Ave, Lansing, MI 48910 | 2009-06-30 |
| 1851490205 | James E. Mcgillicuddy II | Surgery | 901 E Mount Hope Ave, Lansing, MI 48910-3207 | 2006-09-22 |
| 1487665519 | John Paul Kepros | Surgery | Sparrow Hospital - Trauma Services, 1215 E Michigan Ave, Lansing, MI 48912 | 2006-08-11 |
| 1346254406 | Marc D. Basson | Surgery | 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 | 2006-07-27 |
| 1245257914 | Clsudio Rebosura Decena | Surgery | 117 Rock Creek Loop, Lansing, KS 66043-6211 | 2006-07-17 |
| 1598749194 | Mark I Menning | Surgery | 737 N Grand Ave, Lansing, MI 48906-5160 | 2005-12-06 |
| 1710961305 | Daniel C Coffey | Surgery | 1627 Lake Lansing Rd Ste 100, Lansing, MI 48912-3788 | 2005-12-06 |
| 1205817749 | Suzanne Marie Hanses | Surgery | 4911 W St Joe Hwy, Ste 102, Lansing, MI 48917-4088 | 2005-11-10 |
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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.