Active NPI
John C Lane, M.D.
- Family Medicine Physician
- Fort Smith, AR
National Provider Identifier
1467740225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-7199
- Practice address
- 1301 S E St
Fort Smith, AR 72901-4716 - Phone
- (479) 785-2431
- Fax
- (479) 494-7787
- NPI assigned
- Jul 14, 2011
- Last updated
- Apr 14, 2017
- 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 | E-7199 | AR | Primary |
Addresses
Primary practice location
1301 S E St
Fort Smith, AR 72901-4716
Mailing address
612 S 12TH St
Fort Smith, AR 72901-4702
Phone (479) 785-2431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189401001 | Medicaid | AR | |
| 200341230A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Southwestern Medical School at Dallas, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 S E St
Fort Smith, AR 72901-3892
Phone (479) 785-2431
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-7199 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Regional Hospitals | Past | Accepting new patients |
Interoperability endpoints
- jlane217770@direct.baptist-healthar.org
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.
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1831193531
-
dba Baptist Health - Fort Smith
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health - Fort Smith
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
-
- Community Based Hospice Care Agency
- Fort Smith, AR
- NPI 1356312292
-
dba Methodist Health and Rehab
- Skilled Nursing Facility
- Fort Smith, AR
- NPI 1003901802
Nursing home
-
dba The University Hospital of Arkansas
- General Acute Care Hospital
- Little Rock, AR
- NPI 1477549756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1467740225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 S 12TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014702",
"telephone_number": "479-785-2431",
"fax_number": "479-494-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S E ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014716",
"telephone_number": "479-785-2431",
"fax_number": "479-494-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "JOHN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-14",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-7199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189401001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200341230A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.