Active NPI
Craig R Lane, DPM
- Podiatrist
- Baltimore, MD
National Provider Identifier
1740372358
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Nov 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 01178
- Practice address
- 911 N Carey Street
Baltimore, MD 21217 - Phone
- (410) 523-5898
- Fax
- (410) 523-5815
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 01178 | MD | Primary |
Addresses
Primary practice location
911 N Carey Street
Baltimore, MD 21217
Mailing address
911 N Carey Street
Baltimore, MD 21217
Phone (410) 523-5898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403809600 | Medicaid | MD |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1178 | MD | MD | Behavioral Analyst |
| 01178 | MD | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1740372358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 N CAREY STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21217",
"telephone_number": "410-523-5898",
"fax_number": "410-523-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N CAREY STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21217",
"telephone_number": "410-523-5898",
"fax_number": "410-523-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "CRAIG",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "01178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403809600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.