NPIMap

Individual provider Active NPI

Robert C Lane, M.D.

  • Family Medicine Physician
  • Calico Rock, AR
National Provider Identifier
1699741082
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C4350 Issued in AR
Practice address
35 Grasse Street
Calico Rock, AR 72519
Phone
(870) 297-2475
Fax
(870) 297-4380
NPI assigned
Feb 24, 2006
Last updated
Apr 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C4350 AR
Family Medicine Physician 207Q00000X C4350 AR Primary

Addresses

Primary practice location

35 Grasse Street
Calico Rock, AR 72519

Mailing address

PO Box 819
Calico Rock, AR 72519-0819
Phone (870) 297-2475

Other identifiers 4

IdentifierTypeStateIssuer
02113OtherARCIGNA
13676000000OtherQUALCHOICE
102785001MedicaidAR
53039OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331001216 AR Practitioner - Family PracticePractitioner - Anesthesiology 5698758456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Anesthesiology
Education
University of Arkansas College of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Regional Health SystemGroup PAC ID 0941507677, 20 clinicians

Practice addresses (Care Compare)

2161 Ar 56 Hwy
Calico Rock, AR 72519-7009
Phone (870) 916-2000

2161 Hwy 56
Calico Rock, AR 72519-7009
Phone (870) 916-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C4350ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Regional Health System Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Baxter Regional Health System Current Accepting new patients
Baxter Regional Health System Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Dec 31, 2025 Accepting new patients
Baxter County Regional Hospital, Inc Family Medicine CurrentSince Dec 31, 2025 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

2161 Highway 56
Calico Rock, AR 72519
Phone (870) 404-4329

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

102 Mountain Place Dr
Ste C
Mountain View, AR 72560
Phone (870) 232-5315

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: robert.lane@bhcawp.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1699741082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725190819",
            "telephone_number": "870-297-2475",
            "fax_number": "870-297-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GRASSE STREET",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "72519",
            "telephone_number": "870-297-2475",
            "fax_number": "870-297-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "C4350",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C4350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "02113",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "13676000000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102785001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calico Rock, AR

Sources for this page

Verify at the official NPI Registry.