Active NPI
Chris Allen Lane, PA-C
- Medical Physician Assistant
- Spring Hill, FL
National Provider Identifier
1639155484
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103721
- Practice address
- 5350 Spring Hill Dr
Spring Hill, FL 34606-4562 - Phone
- (352) 688-8116
- Fax
- (352) 686-9477
- NPI assigned
- Dec 22, 2005
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103721 | FL | Primary |
Addresses
Primary practice location
5350 Spring Hill Dr
Spring Hill, FL 34606-4562
Mailing address
5759 N Carnation Dr
Beverly Hills, FL 34465-2255
Phone (352) 746-6141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292510900 | Medicaid | FL |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Spring Hill, FL
- NPI 1912949561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1639155484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5759 N CARNATION DR",
"city": "BEVERLY HILLS",
"state": "FL",
"postal_code": "344652255",
"telephone_number": "352-746-6141",
"fax_number": "353-746-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 SPRING HILL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346064562",
"telephone_number": "352-688-8116",
"fax_number": "352-686-9477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "CHRIS",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292510900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.