Active NPI
Albert Lane, DO
- Family Medicine Physician
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RIF70
- Practice address
- 1115 N. Belt Highway
St. Joseph, MO 64506-2410 - Phone
- (816) 271-7077
- Fax
- (816) 271-0421
- NPI assigned
- Apr 4, 2006
- Last updated
- Nov 16, 2012
- 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 | RIF70 | MO | Primary |
Addresses
Primary practice location
1115 N. Belt Highway
St. Joseph, MO 64506-2410
Mailing address
1115 N. Belt Highway
St. Joseph, MO 64506-2410
Phone (816) 271-7077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619939774 | Medicaid | MO | |
| 200743250A | Medicaid | KS |
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 |
|---|---|---|---|
| RIF70 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carespot Professional Services LLC | Current | Accepting new patients | |
| Golden Valley Emergency Physicians, LLC | Past | Accepting new patients |
Locations
3500 W 95th St
Leawood, KS 66206
Phone (913) 305-3167
9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631
1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342
13551 Madison Ave
Kansas City, MO 64145
Phone (816) 256-3095
Interoperability endpoints
- albert.lane@direct.mymlc.com
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.
-
dba CareNow
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1568703783
-
- Emergency Medicine Physician
- Clinton, MO
- NPI 1306814306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1619939774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 N. BELT HIGHWAY",
"city": "ST. JOSEPH",
"state": "MO",
"postal_code": "645062410",
"telephone_number": "816-271-7077",
"fax_number": "816-271-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N. BELT HIGHWAY",
"city": "ST. JOSEPH",
"state": "MO",
"postal_code": "645062410",
"telephone_number": "816-271-7077",
"fax_number": "816-271-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ALBERT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "RIF70",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619939774",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200743250A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.