Individual provider Active NPI

John A Lane, MD

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1275523177
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
200500715 Issued in NC
Practice address
2301 Rexwoods Dr
Suite 114
Raleigh, NC 27607-3366
Phone
(919) 235-3369
Fax
(919) 235-3367
NPI assigned
Oct 24, 2005
Last updated
Feb 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 200500715 NC Primary

Addresses

Primary practice location

2301 Rexwoods Dr
Suite 114
Raleigh, NC 27607-3366

Mailing address

2301 Rexwoods Dr
Suite 114
Raleigh, NC 27607-3366
Phone (919) 235-3369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070416000131 NC Practitioner - Obstetrics/Gynecology 5294750980

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200500715NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fortier Gynecology PLLC PastSince Apr 1, 2023 Accepting new patients

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, 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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1275523177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 REXWOODS DR",
            "address_2": "SUITE 114",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073366",
            "telephone_number": "919-235-3369",
            "fax_number": "919-235-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 REXWOODS DR",
            "address_2": "SUITE 114",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073366",
            "telephone_number": "919-235-3369",
            "fax_number": "919-235-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200500715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.