Individual provider Active NPI

Timothy Palmer Lane, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1144776113
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3330 N 2ND St Ste 401
Phoenix, AZ 85012-2371
Phone
(602) 606-8949
Fax
(602) 759-7409
NPI assigned
Aug 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AZ Primary

Addresses

Primary practice location

3330 N 2ND St Ste 401
Phoenix, AZ 85012-2371

Mailing address

3330 N 2ND St Ste 401
Phoenix, AZ 85012-2371
Phone (602) 606-8949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170210001753 AZ Practitioner - Physician Assistant 7517249717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Health PLLCGroup PAC ID 9830139617, 5 clinicians
Arizona Bone Joint and Sports Medicine CenterGroup PAC ID 8123496668, 3 clinicians

Practice addresses (Care Compare)

2730 S Val Vista Dr
Suite 188
Gilbert, AZ 85295-1684
Phone (480) 324-0244

3330 N 2ND St
Suite 401
Phoenix, AZ 85012-2371
Phone (602) 606-8949

6625 S Rural Rd
Suite 104
Tempe, AZ 85283-3717
Phone (480) 833-4515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6533AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Bone Joint and Sports Medicine Center CurrentSince Nov 17, 2025 Accepting new patients

Locations

3330 N 2nd St
Ste 401
Phoenix, AZ 85012
Phone (602) 254-1136

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1144776113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 401",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122371",
            "telephone_number": "602-606-8949",
            "fax_number": "602-759-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 401",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122371",
            "telephone_number": "602-606-8949",
            "fax_number": "602-759-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "TIMOTHY",
        "middle_name": "PALMER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.