Individual provider Active NPI

Donald David Lanese, D.O.

  • Diagnostic Radiology Physician
  • Worthington, OH
National Provider Identifier
1689606238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34001528L Issued in OH
Practice address
651 Lakeview Plaza Blvd Ste E
Worthington, OH 43085-4774
Phone
(866) 682-5454
Fax
(614) 888-2227
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 03610016 IL
Diagnostic Radiology Physician 2085R0202X 02002173A IN
Diagnostic Radiology Physician 2085R0202X 529537 KS
Diagnostic Radiology Physician 2085R0202X 02734 KY
Diagnostic Radiology Physician 2085R0202X 5101016720 MI
Diagnostic Radiology Physician 2085R0202X H0058263 MD
Diagnostic Radiology Physician 2085R0202X 34001528L OH Primary
Diagnostic Radiology Physician 2085R0202X 43569021 WI

Addresses

Primary practice location

651 Lakeview Plaza Blvd Ste E
Worthington, OH 43085-4774

Mailing address

651 Lakeview Plaza Blvd Ste E
Worthington, OH 43085-4774
Phone (866) 682-5454

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

LicenseStateTypeSpecialty
03610016ILMDDiagnostic Radiology Physician
02002173AINMDDiagnostic Radiology Physician
529537KSMDDiagnostic Radiology Physician
02734KYMDDiagnostic Radiology Physician
5101016720MIMDDiagnostic Radiology Physician
34001528LOHMDDiagnostic Radiology Physician
43569021WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Diagnostic Services No 1 LLC PastSince Apr 14, 2006 Accepting new patients
Symphony Diagnostic Services No 1 LLC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689606238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 LAKEVIEW PLAZA BLVD STE E",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854774",
            "telephone_number": "866-682-5454",
            "fax_number": "614-888-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 LAKEVIEW PLAZA BLVD STE E",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854774",
            "telephone_number": "866-682-5454",
            "fax_number": "614-888-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANESE",
        "first_name": "DONALD",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "03610016",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "02002173A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "529537",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "02734",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101016720",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "H0058263",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34001528L",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "43569021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.