Active NPI
Donald David Lanese, D.O.
- Diagnostic Radiology Physician
- Worthington, OH
National Provider Identifier
1689606238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 34001528L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03610016 | IL | MD | Diagnostic Radiology Physician |
| 02002173A | IN | MD | Diagnostic Radiology Physician |
| 529537 | KS | MD | Diagnostic Radiology Physician |
| 02734 | KY | MD | Diagnostic Radiology Physician |
| 5101016720 | MI | MD | Diagnostic Radiology Physician |
| 34001528L | OH | MD | Diagnostic Radiology Physician |
| 43569021 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Symphony Diagnostic Services No 1 LLC | Past | 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.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hunt Valley, MD
- NPI 1700865094
-
- Physiological Laboratory
- Clearwater, FL
- NPI 1932376233
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.