JOHN DAVID LANE (NPI# 1962486498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962486498 |
Entity Type | Individual |
Full Name | JOHN DAVID LANE |
Credential | M.D. |
Practice Address |
500 W Brown Deer Rd Suite 202 Bayside WI 53217-1618 |
Practice Telephone | 4144340461 |
Enumeration Date | 2005-11-29 |
Last Update Date | 2014-05-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
37503 | WI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295998326 | John Tipton Lane | Dentist | 2860 Park St., Calico Rock, AR 72519 | 2008-07-09 |
1790812030 | John M. Lane | Dentist | 1912 Bruin Dr, Florence, AL 35630-6769 | 2007-02-27 |
1992871792 | John Edward Lane Jr. | Occupational Therapist | 21 Burnside Street, Lancaster, NH 03584-3241 | 2006-11-27 |
1053329458 | John Francis Lane | Nurse Anesthetist, Certified Registered | 222 Scottsdale Dr, Advance, NC 27006-6959 | 2006-08-03 |
1770599607 | John Dennis Lane | Dentist | 724 E Northwest Hwy, Mount Prospect, IL 60056-3442 | 2006-07-31 |
1487678355 | John R Lane | Physical Therapist | 877 Meadow Glen Ct, Reno, NV 89509-0658 | 2006-07-26 |
1134185226 | John P Lane | Chiropractor | 4710 E Falcon Dr, #116-117, Mesa, AZ 85215-2500 | 2006-04-26 |
1275523177 | John A Lane | Obstetrics & Gynecology | 2301 Rexwoods Dr, Suite 114, Raleigh, NC 27607-3366 | 2005-10-24 |
1992333918 | John Spencer Lane | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 1.134, Houston, TX 77030-5389 | 2020-03-27 |
1013330778 | John Lane | Health Educator | 4705 Henry Hudson Pkwy W, 11g, Bronx, NY 10471-3231 | 2014-01-30 |
Street Address |
500 W BROWN DEER RD SUITE 202 |
City | BAYSIDE |
State | WI |
Zip Code | 53217-1618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366435083 | Stefanie M. Rosenberg | Physician Assistant | 500 W Brown Deer Rd, Bayside, WI 53217-1627 | 2005-08-29 |
1770824245 | Healing Point Chiropractic LLC | Chiropractor | 500 W Brown Deer Rd, Suite 220, Bayside, WI 53217-1627 | 2013-03-08 |
1730373804 | Knut Erik Feiker | Chiropractor | 500 W Brown Deer Rd, Suite 220, Bayside, WI 53217-1627 | 2007-08-31 |
1013133065 | Milwaukee Eye Care Associates S.c. | Technician/Technologist | 500 W Brown Deer Rd, Suite 110, Bayside, WI 53217-1618 | 2007-04-18 |
1831240407 | Juile Johnson | Specialist | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2007-01-12 |
1790700185 | John Whalen | Nuclear Medicine | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2006-07-13 |
1417972803 | Richard Bush | Specialist | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2006-07-13 |
1528016144 | Howard H Johnson | Specialist | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1627 | 2006-05-05 |
1578542767 | Vladimir Ivanovic | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2006-01-16 |
1003890278 | Timothy L Workman | Radiology | 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618 | 2005-12-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
Find all providers in zip 53217 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245520840 | Sujan Swearingen | Radiology | 5931 Pilgrim Way, Racine, WI 53406-2739 | 2011-04-15 |
1124289657 | Farzad Rezai | Radiology | 624 N 59th St, Milwaukee, WI 53213-4214 | 2008-06-18 |
1679507883 | Center for Medical Imaging Inc | Radiology | W178n9912 Rivercrest Dr, Suite 102, Germantown, WI 53022-4645 | 2006-07-11 |
1003869140 | Interventional Procedures Group Ltd | Radiology | 2445 North Mayfair Road, Wauwatosa, WI 53226 | 2006-05-18 |
1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
1902260433 | Jiahao Hu | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-04-11 |
1720443922 | Elliott Russell | Radiology | Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2015-12-15 |
1104212091 | Osmani Deochand | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-04-08 |
1447666219 | Chadi Diab | Radiology | 600 Highland Ave, Madison, WI 53792-2709 | 2014-07-01 |
1255743860 | Naif Hamad Alsaikhan | Radiology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2014-05-30 |
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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.