Individual provider Active NPI

Anthony R Lanier, DO

  • Internal Medicine Physician
  • Niles, OH
National Provider Identifier
1184606766
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34006492 Issued in OH
Practice address
1150 Niles Cortland Rd
Niles, OH 44446
Phone
(330) 651-1759
Fax
(330) 652-2719
NPI assigned
Nov 18, 2005
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34006492 OH Primary

Addresses

Primary practice location

1150 Niles Cortland Rd
Niles, OH 44446

Mailing address

1150 Niles Cortland Rd
Niles, OH 44446
Phone (330) 652-1759

Other identifiers 1

IdentifierTypeStateIssuer
2040866MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000022 OH Practitioner - Internal MedicinePractitioner - Family Practice 3971636408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1150 Niles Cortland Rd
Niles, OH 44446-3590
Phone (330) 652-1759

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006492OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Clinic, Inc CurrentSince Sep 1, 1998 Accepting new patients

Locations

1150 Niles Cortland Rd
Niles, OH 44446
Phone (330) 544-8009

1150 Niles Cortland Rd
Ste 2
Niles, OH 44446

Interoperability endpoints

  • Direct secure messaging: alanier34776@direct.bsmhealth.org

Organizations & group practices 1

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1184606766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NILES CORTLAND RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "44446",
            "telephone_number": "330-652-1759",
            "fax_number": "330-652-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NILES CORTLAND RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "44446",
            "telephone_number": "330-651-1759",
            "fax_number": "330-652-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040866",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

Verify at the official NPI Registry.