Edward M Lane MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

024203 Issued in CT

Legal business name

EDWARD M LANE MD PC

Practice address

4675 Main St
Bridgeport, CT 06606-1813

Phone

(203) 372-0009

Fax

(203) 372-7931

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Izamari Garcia

Title

Manager

Phone

(203) 372-0009

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Michael Lane, MD

  • Otolaryngology Physician
  • Bridgeport, CT
  • NPI 1033140876
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1700063013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-372-0009",
            "fax_number": "203-372-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061813",
            "telephone_number": "203-372-0009",
            "fax_number": "203-372-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M LANE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IZAMARI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-372-0009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "024203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1033140876",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1700063013",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001242031",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florence Ebbecke
• Melissa Ebdon, RD
• Eclectic Physical Therapy LLC
• Jane Neikirk Edgell
• Kristin L. Edgerton
• Kimberly Edwards, PT
• Nicole Danielle Edwards, D.D.S.
• Taylor Sophia Edwards, PA-C
• Edwine Partners LLC
• Dmitry Egorov, M.D.

• Otolaryngology Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Otolaryngology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.