James Lane, M.D. Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35044197 Issued in OH

Legal business name

JAMES LANE, M.D. INC

Practice address

5 Severance Cir
#705
Cleveland HTS, OH 44118-1566

Phone

(216) 381-1311

Fax

(216) 381-2606

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

James Lane, M.D.

Title

President

Phone

(216) 381-1311

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ASSOCIATES IN CARDIOLOGY INC Other name

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1093909814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "#705",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-381-1311",
            "fax_number": "216-381-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR",
            "address_2": "#705",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181566",
            "telephone_number": "216-381-1311",
            "fax_number": "216-381-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES LANE, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-381-1311",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35044197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2397937",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER",
            "identifier": "9335441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATES IN CARDIOLOGY INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Cleveland HTS, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.