John C Lane (NPI# 1467740225, PAC ID# 4284642083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1467740225 |
| PAC ID by PECOS | 4284642083 |
| Professional Enrollment ID | I20111017000132 |
| Full Name | John C Lane |
| Organization Legal Name | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES |
| Address |
1301 S E St Fort Smith AR 72901-3892 |
| Phone Number | 4797852431 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082528955 |
| Number of Group Practice Members | 994 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040062 | MERCY HOSPITAL FORT SMITH |
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1301 S E St, Fort Smith, AR 72901-3892 | 4797852431 | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES |
| Organization Legal Name | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES |
| Physicians | 1176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela M Mize | Nurse Practitioner | University of Arkansas for Medical Sciences | 1993 Harrison St, Batesville, AR 72501-7309 |
| Mark B Ellis | Occupational Therapy | University of Arkansas for Medical Sciences | 4301 W Markam St, Little Rock, AR 72205-7101 |
| Dustin E Williford | Pediatric Medicine | University of Arkansas for Medical Sciences | 1 Childrens Way, Suite 653, Little Rock, AR 72202-3571 |
| Heather K Vaughn | Physical Therapy | University of Arkansas for Medical Sciences | 1125 N College Ave, Fayetteville, AR 72703-1908 |
| Kyle Diaz | Family Medicine | University of Arkansas for Medical Sciences | 3417 U of A Way, Ahec Southwest Family Practice Clinic, Texarkana, AR 71854-1419 |
| Lou A Eads | Psychiatry | University of Arkansas for Medical Sciences | 3001 W Roosevelt Rd, Pulaski County Crisis Stabilization, Little Rock, AR 72204-5658 |
| Mimo R Lemdja | Family Medicine | University of Arkansas for Medical Sciences | 1617 N Washington, Magnolia, AR 71753-2046 |
| Jon Rubenow | Psychiatry | University of Arkansas for Medical Sciences | 4224 Shuffield Dr, Uams Cast, Little Rock, AR 72205-7101 |
| Richard Justiss | Family Medicine | University of Arkansas for Medical Sciences | 1222 W 42nd Ave, Pine Bluff, AR 71603-7109 |
| Muthu K Veeraputhiran | Medical Oncology | University of Arkansas for Medical Sciences | 4301 W Markham St, 783 Medical College Physicians Group, Little Rock, AR 72205-7101 |
| Street Address |
1301 S E ST |
| City | FORT SMITH |
| State | AR |
| Zip | 72901-3892 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Holland Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Katherine A Irish Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Elizmary C Cyril | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Edward L Gills | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Lawrence C Price | Internal Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Robert C Barker | Gastroenterology | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Jennifer E Becker | Nurse Practitioner | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Chiovoloni | Clinical Social Worker | 1320 N B St, Suite 100, Fort Smith, AR 72901-3210 | |
| Jerrica J Thomas | Physical Therapy | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | |
| Charles K Wright | Family Medicine | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Ngoc Van Hoang | General Practice | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Thuylinh H Pham | Internal Medicine | 623 S 21st St, Fort Smith, AR 72901-3914 | |
| John Wright | Podiatry | 600 S 21 St St, Ft Smith, AR 72901-3915 | |
| Karen Lynn Williams | Nurse Practitioner | Elangwe Enterprises | 2420 Rogers Ave, Fort Smith, AR 72901-4164 |
| Michael W Linimon | Optometry | Eye Group, LLC | 3000 Rogers Ave, Fort Smith, AR 72901-4232 |
| Donovan S. Willis | Certified Registered Nurse Anesthetist (crna) | 3002 Rogers Ave, Fort Smith, AR 72901-4232 | |
| Willadean C Clowe | Physical Therapy | 2912 Rogers Ave, Suite C, Fort Smith, AR 72901-4268 | |
| Find all physicians in zip 72901 | |||
| City | FORT SMITH |
| Zip Code | 72901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT SMITH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John C 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.