Active NPI
Larry H. Lane, D.O.
- Family Medicine Physician
- Chelsea, OK
National Provider Identifier
1396715751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1900
- Practice address
- 403 Redbud LN
Chelsea, OK 74016-1453 - Phone
- (918) 789-3146
- Fax
- (918) 789-5650
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1900 | OK | Primary |
Addresses
Primary practice location
403 Redbud LN
Chelsea, OK 74016-1453
Mailing address
PO Box 218
Chelsea, OK 74016-0218
Phone (918) 789-3146
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1900 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Family Medicine | Past | Accepting new patients |
| Northeastern State University College of Optometry | Past | Accepting new patients | |
| Generations Family Counseling | Past | Accepting new patients | |
| Claremore Physicians LLC | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Tahlequah, OK
- NPI 1093722324
-
- Clinic/Center
- Claremore, OK
- NPI 1982692216
-
- Community/Behavioral Health Agency
- Claremore, OK
- NPI 1578817052
-
- Optometrist
- Tahlequah, OK
- NPI 1437106333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1396715751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "CHELSEA",
"state": "OK",
"postal_code": "740160218",
"telephone_number": "918-789-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 REDBUD LN",
"city": "CHELSEA",
"state": "OK",
"postal_code": "740161453",
"telephone_number": "918-789-3146",
"fax_number": "918-789-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "LARRY",
"middle_name": "H.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "1900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chelsea, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.