Active NPI
Sandra Evelyn Lane, MD
- Sports Medicine (Family Medicine) Physician
- Punta Gorda, FL
National Provider Identifier
1023087467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- ME136355
- Practice address
- 315 E Olympia Ave Unit 211
Punta Gorda, FL 33950-3823 - Phone
- (941) 637-2663
- Fax
- (941) 637-6872
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 35052191 | OH | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME136355 | FL | Primary |
Addresses
Primary practice location
315 E Olympia Ave Unit 211
Punta Gorda, FL 33950-3823
Mailing address
315 E Olympia Ave Unit 211
Punta Gorda, FL 33950-3823
Phone (941) 637-2663
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0671269 | Medicaid | OH | |
| 000000209373 | Other | ANTHEM | |
| 311157926SAL | Other | SUMMIT | |
| P00131420 | Other | CIGNA | |
| 310846816007 | Other | PRUDENTIAL | |
| 6567 | Other | NATIONWIDE | |
| 010064146 | Other | RAILROAD MEDICARE | |
| 4015568 | Other | AETNA | |
| 000000226360 | Other | ANTHEM | |
| 2300473 | Other | UNITED HEALTHCARE |
Other names 1
- Sandra Lane Joseph
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | associatesinorthopedics@comcast.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Neurological Consultants, Inc. | Current | Accepting new patients | |
| Associates in Orthopedics P a | Current | Accepting new patients | |
| Orthopedic & Neurological Consultants, Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Orthopedics and Sports Medicine Incorporated | Past | Accepting new patients |
Locations
315 E Olympia Ave
Unit 211
Punta Gorda, FL 33950
Phone (941) 637-2663
L 3973
Columbus, OH 43260
1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725
70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115
Interoperability endpoints
- slane@orthon1642.srs-direct.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Punta Gorda, FL
- NPI 1467562793
-
- Orthopaedic Surgery Physician
- New Albany, OH
- NPI 1063507226
-
- Durable Medical Equipment & Medical Supplies
- Dublin, OH
- NPI 1689269334
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Columbus, OH
- NPI 1881661106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1023087467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E OLYMPIA AVE UNIT 211",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503823",
"telephone_number": "941-637-2663",
"fax_number": "941-637-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E OLYMPIA AVE UNIT 211",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503823",
"telephone_number": "941-637-2663",
"fax_number": "941-637-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "SANDRA",
"middle_name": "EVELYN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OH",
"license": "35052191",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME136355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0671269",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000209373",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMIT",
"identifier": "311157926SAL",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "P00131420",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRUDENTIAL",
"identifier": "310846816007",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "6567",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010064146",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4015568",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000226360",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2300473",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "associatesinorthopedics@comcast.net",
"affiliation": "N",
"address_1": "315 E Olympia Ave Unit 211",
"city": "Punta Gorda",
"state": "FL",
"country_code": "US",
"postal_code": "339503823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "JOSEPH",
"middle_name": "LANE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.