Individual provider Active NPI

Mark S. Lane, MD

  • Family Medicine Physician
  • Lampasas, TX
National Provider Identifier
1174505176
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8229 Issued in TX
Practice address
187 PR 4060
Lampasas, TX 76550-4071
Phone
(512) 556-3621
Fax
(512) 556-6594
NPI assigned
Nov 16, 2005
Last updated
Jun 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G8229 TX Primary

Addresses

Primary practice location

187 PR 4060
Lampasas, TX 76550-4071

Mailing address

207 W Avenue E
Lampasas, TX 76550-1820
Phone (512) 556-3621

Other identifiers 6

IdentifierTypeStateIssuer
117354100OtherTXFIRST CARE
89Y900OtherTXBLUE CROSS/BLUE SHIELD
132326302MedicaidTX
080124938OtherTXMEDICARE RAILROAD
105605OtherTXSUPERIOR
90023OtherTXSCOTT & WHITE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fmcscience, LLC Family Medicine PastSince Apr 5, 2017 Accepting new patients
Adventhealth Family Medicine Rural Health Clinics, Inc. Family Medicine PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mark.lane@fmc.directbygreenway.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1174505176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W AVENUE E",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765501820",
            "telephone_number": "512-556-3621",
            "fax_number": "512-556-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 PR 4060",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765504071",
            "telephone_number": "512-556-3621",
            "fax_number": "512-556-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MARK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "117354100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "89Y900",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132326302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080124938",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "105605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "90023",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lampasas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.