Philip Lane (NPI# 1982620530, PAC ID# 4183715618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1982620530 |
| PAC ID by PECOS | 4183715618 |
| Professional Enrollment ID | I20080904000654 |
| Full Name | Philip Lane |
| Organization Legal Name | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| Address |
2202 Harlem Rd Suite 200 Loves Park IL 61111-2754 |
| Phone Number | 8158774848 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1974 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5597668004 |
| Number of Group Practice Members | 78 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140228 | SWEDISH AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 | 8158774848 | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| Organization Legal Name | ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lenny G Kizhakepunnur | Anesthesiology | Rockford Anesthesiologists Associated LLC | 1625 S State St, Belvidere, IL 61008-5907 |
| Molly M Kelly | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Agata Reja | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1016 Featherstone Rd, Rockford, IL 61107-5902 |
| Vincent J Quinlan | Anesthesiology | Rockford Anesthesiologists Associated LLC | 900 N 2nd St, Rochelle, IL 61068-1764 |
| Kelly N Carroll | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Nathaniel J Schwartz | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Esther R Feder | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Rita K Bramley | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1401 E State St, Rockford, IL 61104-2315 |
| Daniel B Claunch | Certified Registered Nurse Anesthetist (crna) | Rockford Anesthesiologists Associated LLC | 1045 W Stephenson St, Freeport, IL 61032-4864 |
| Lisa P Solomon | Anesthesiology | Rockford Anesthesiologists Associated LLC | 1625 S State St, Belvidere, IL 61008-5907 |
| Street Address |
2202 HARLEM RD SUITE 200 |
| City | LOVES PARK |
| State | IL |
| Zip | 61111-2754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly M Kelly | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Aladino Deranieri | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| David B Rydberg | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Maria Laporta | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Kyle E Wilhite | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Lawrence D Mason | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Brian W Mecklenburg | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Paola A Pesantes | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Casey G Shupe | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| John E Szewczyk | Anesthesiology | Rockford Anesthesiologists Associated LLC | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin R Moody | Physician Assistant | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Michael D Kouimelis | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Brandon N Nierhoff | Nurse Practitioner | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Syed M Mohiuddin | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Muhammad Adnan Habib | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Jessica Knoll | Nurse Practitioner | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Jody M Ideran | Clinical Social Worker | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Erica S Cook | Nurse Practitioner | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Noah J Simon | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Taariq A Khan | Family Medicine | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Find all physicians in zip 61111 | |||
| City | LOVES PARK |
| Zip Code | 61111 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | LOVES PARK + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Philip Lane.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.