Active NPI
Lane Jay Mercer, M.D.
- Gynecology Physician
- Orlando, FL
National Provider Identifier
1477594620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME89606
- Practice address
- 2501 N Orange Ave
Suite 210
Orlando, FL 32804-4603 - Phone
- (407) 898-9804
- Fax
- (407) 898-9805
- NPI assigned
- Jun 9, 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME89606 | FL | Primary |
Addresses
Primary practice location
2501 N Orange Ave
Suite 210
Orlando, FL 32804-4603
Mailing address
2501 N Orange Ave
Suite 210
Orlando, FL 32804-4603
Phone (407) 898-9804
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49013 | Other | FL | BLUE SHIELD CODE |
| DF2563 | Other | FL | RAILROAD MEDICARE |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FWC Urogynecology, LLC | Past | Accepting new patients | |
| Advanced Gynecology of Central Florida P a | Gynecology | Past | 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 and National Provider Directory roles.
-
- Gynecology Physician
- Orlando, FL
- NPI 1861437451
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Tampa, FL
- NPI 1578859732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1477594620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE",
"address_2": "SUITE 210",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044603",
"telephone_number": "407-898-9804",
"fax_number": "407-898-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N ORANGE AVE",
"address_2": "SUITE 210",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044603",
"telephone_number": "407-898-9804",
"fax_number": "407-898-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "LANE",
"middle_name": "JAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME89606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD CODE",
"identifier": "49013",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF2563",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.