Organization Active NPI

Jane Lamp MD PA

  • Family Medicine Physician
  • Loxahatchee, FL
National Provider Identifier
1700980273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME77706 Issued in FL
Legal business name
JANE LAMP MD PA
Practice address
12957 Palms West Dr
Suite 104
Loxahatchee, FL 33470-4989
Phone
(561) 333-6033
Fax
(561) 333-6057
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jane I Lamp, MDNPI 1659366425
Title
President
Phone
(561) 333-6033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME77706 FL Primary

Addresses

Primary practice location

12957 Palms West Dr
Suite 104
Loxahatchee, FL 33470-4989

Mailing address

12957 Palms West Dr
Suite 104
Loxahatchee, FL 33470-4989
Phone (561) 333-6033

Other identifiers 1

IdentifierTypeStateIssuer
35758OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000315 FL Part B Supplier - Clinic/Group Practice 6901851302 Receives reassigned benefits from 4 practitioners
Practice locations: Loxahatchee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1036341Jane Lamp MD PA12957 Palms West Dr Ste 104, Loxahatchee, FL 33470Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Locations

12957 Palms West Dr
Ste 104
Loxahatchee, FL 33470
Phone (561) 333-6033

12957 Palms West Dr
#8037
Loxahatchee, FL 33470

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700980273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DR",
            "address_2": "SUITE 104",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704989",
            "telephone_number": "561-333-6033",
            "fax_number": "561-333-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DR",
            "address_2": "SUITE 104",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704989",
            "telephone_number": "561-333-6033",
            "fax_number": "561-333-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE LAMP MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMP",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-333-6033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME77706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35758",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.