JOHN DAVID LANE


Address: 500 W Brown Deer Rd, Suite 202, Bayside, WI 53217-1618
Phone: 4144340461

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
37503 WI Allopathic & Osteopathic Physicians

Other Providers JOHN LANE

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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

Office Location

Street Address 500 W BROWN DEER RD
SUITE 202
City BAYSIDE
State WI
Zip Code 53217-1618

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City BAYSIDE
Zip Code 53217

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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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