Individual provider Active NPI

Richard Thomas Lane, CRNA

  • Certified Registered Nurse Anesthetist
  • McComb, MS
National Provider Identifier
1447261805
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R861734 Issued in MS
Practice address
215 Marion Ave
McComb, MS 39648-2705
Phone
(601) 249-5500
Fax
(601) 249-1709
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R861734 MS Primary

Addresses

Primary practice location

215 Marion Ave
McComb, MS 39648-2705

Mailing address

1210 Parklane Rd
Apt 7D
McComb, MS 39648-4904
Phone (601) 916-2786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060317000183 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931116803 Reassigns benefits to 4 organizations
I20240503001766 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931116803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Affiliates LLCGroup PAC ID 6800936162, 39 clinicians
Deep South Anesthesia, IncGroup PAC ID 4284897612, 5 clinicians

Practice addresses (Care Compare)

131 Cherokee Rose LN
Covington, LA 70433-7244
Phone (985) 871-1721

14225 Dedeaux Rd
Gulfport, MS 39503-3369
Phone (228) 813-0778

801 Goodyear Blvd
Picayune, MS 39466-3221
Phone (601) 798-4711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R861734MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest General Hospital CurrentSince Apr 10, 2008 Accepting new patients
McComb Anesthesia Associates, LLP Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2011 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Nov 19, 2018 Accepting new patients
Deep South Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 5, 2012 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 19, 2024 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Nov 19, 2018 Accepting new patients
Forrest County General Hospital CurrentSince Apr 10, 2008 Accepting new patients
Central Brevard Anesthesiologists, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

131 Cherokee Rose Ln
Covington, LA 70433
Phone (985) 641-8982

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

14225 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 328-0972

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

215 Marion Ave
McComb, MS 39648
Phone (601) 249-1180

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447261805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PARKLANE RD",
            "address_2": "APT 7D",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484904",
            "telephone_number": "601-916-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482705",
            "telephone_number": "601-249-5500",
            "fax_number": "601-249-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R861734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.