One Medic Lane Physicians PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ONE MEDIC LANE PHYSICIANS PLLC

Doing business as

Medic Lane Physicians

Practice address

400 Medic LN Ste C
Alvin, TX 77511-5567

Phone

(281) 331-0082

Fax

(281) 331-2624

NPI assigned

Dec 23, 2005

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Baker

Title

Billing Manager

Phone

(281) 331-0082

Specialties & licenses 1

Addresses

Other names 1

• Medic Lane Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Dewitt, MD

  • Internal Medicine Physician
  • Alvin, TX
  • NPI 1972589737
  Medicare reassignment Care Compare group NPD
• Kerry D McCarroll, MD

  • Family Medicine Physician
  • Alvin, TX
  • NPI 1568448181
  Medicare reassignment Care Compare group NPD
• Joseph Chmielewski, NP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1508451378
  Medicare reassignment NPD
• Cynthia Ellen Sload-Parker, P.A.-C

  • Physician Assistant
  • Alvin, TX
  • NPI 1770569394
  Medicare reassignment
• Diana Garcia Douglas, NP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1750017083
  NPD (past)
• Shelia Reagan, NP

  • Family Nurse Practitioner
  • Webster, TX
  • NPI 1528517794
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1427035161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1968",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775121968",
            "telephone_number": "281-331-0082",
            "fax_number": "281-331-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDIC LN STE C",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775115567",
            "telephone_number": "281-331-0082",
            "fax_number": "281-331-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MEDIC LANE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "281-331-0082",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medic Lane Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medic Lane Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ajikele Nwankwo, NP
• Oakbend Medical Center (The Lev at Winchester)
• Oasis Intervention Systems, PC
• Gwen Mary Obert, D.C.
• Lisa Josephine Obrien, RN
• Ifeoma Nkechi Onozie, FNP
• Sarah Katherine Parish
• Keara Park
• Chilibra Patterson, OTR
• George Anthony Perez Jr., DC

• Family Medicine Physician in Alvin, TX
• Providers in Alvin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.