Individual provider Active NPI

Anthereca E Lane, MD

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1073722179
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.126683 Issued in OH
Practice address
3219 Clifton Ave Ste 210
Cincinnati, OH 45220-3041
Phone
(513) 751-5900
NPI assigned
May 22, 2007
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01063792A IN
Obstetrics & Gynecology Physician 207V00000X 35.126683 OH Primary
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X BP2-0019595 TX

Addresses

Primary practice location

3219 Clifton Ave Ste 210
Cincinnati, OH 45220-3041

Mailing address

3219 Clifton Ave Ste 210
Cincinnati, OH 45220-3041
Phone (513) 751-5900

Other practice location 1

1111 Lighthouse Lane
Goshen, IN 46526-3824
Phone (574) 533-0348

Other practice location 2

740 W Galbraith Rd Ste 100
Cincinnati, OH 45231-6002
Phone (513) 242-0100

Other identifiers 1

IdentifierTypeStateIssuer
200867030MedicaidIN

Other names 1

  • Anthereca E Edmerson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151120001227 OH Practitioner - Obstetrics/Gynecology 4789767732 Reassigns benefits to 2 organizations
I20151120001680 KY Practitioner - Obstetrics/Gynecology 4789767732

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

375 Dixmyth Ave
Suite 3135
Cincinnati, OH 45220-2475
Phone (513) 862-3452

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01063792AINMDObstetrics & Gynecology Physician
BP2-0019595TXMDHospice and Palliative Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Jul 1, 2022 Accepting new patients
The Good Samaritan Hospital of Cincinnati, Ohio Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

3219 Clifton Ave
Ste 210
Cincinnati, OH 45220
Phone (513) 281-2390

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

740 W Galbraith Rd
Ste 100
Cincinnati, OH 45231
Phone (513) 242-0100

Interoperability endpoints

  • Direct secure messaging: alane242952@direct.trihealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1073722179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE STE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203041",
            "telephone_number": "513-751-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE STE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203041",
            "telephone_number": "513-751-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Lighthouse Lane",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465263824",
            "country_code": "US",
            "telephone_number": "574-533-0348",
            "fax_number": "574-533-0277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 W Galbraith Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452316002",
            "country_code": "US",
            "telephone_number": "513-242-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "ANTHERECA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01063792A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.126683",
            "primary": true
        },
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "BP2-0019595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200867030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHERECA",
            "last_name": "EDMERSON",
            "middle_name": "E",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.