Michael W Lane MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MICHAEL W LANE MD PC

Practice address

95 Pinehill Blvd
Petersburg, VA 23805-9233

Phone

(804) 641-6741

Fax

(804) 861-0050

NPI assigned

Oct 27, 2006

Last updated

Mar 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael W Lane, MD

Title

Owner

Phone

(804) 641-6741

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1114003746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3556",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238053556",
            "telephone_number": "804-641-6741",
            "fax_number": "804-861-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PINEHILL BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059233",
            "telephone_number": "804-641-6741",
            "fax_number": "804-861-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W LANE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-641-6741",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medarva Physician Services LLC (Medrva Physician Services)
• Medstat Inc
• Michelle Luebehusen Mehfoud, MSPT
• Cassandra Merrick, LPC
• Metro Gardens Enterprises, Inc
• Midlothian Rehabilitation Associates PLLC
• Milan Bhagat, DMD, PLLC
• Jerry A Miles, DDS
• Mark Militana, MD
• Jacquelyn Perry Miller, RN

• Physical Medicine & Rehabilitation Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.