Lane Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LANE PEDIATRICS PA

Practice address

7841 Cambridge Manor PL Ste C
Fort Myers, FL 33907-4635

Phone

(239) 908-3593

Fax

(239) 908-3597

NPI assigned

Mar 19, 2014

Last updated

May 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Lane, M.D.NPI 1386806727

Title

Owner

Phone

(239) 908-3593

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara K Lane, MD

  • Pediatrics Physician
  • Estero, FL
  • NPI 1386806727
  NPD Authorized official
• Carissa Leigh Tartaglia, ARNP

  • Pediatric Nurse Practitioner
  • Estero, FL
  • NPI 1528586880
  NPD (past)

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1780001420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 CAMBRIDGE MANOR PL STE C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074635",
            "telephone_number": "239-908-3593",
            "fax_number": "239-908-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 CAMBRIDGE MANOR PL STE C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074635",
            "telephone_number": "239-908-3593",
            "fax_number": "239-908-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-908-3593",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.lane@lanepediatrics.opdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7841 Cambridge Manor Pl Ste C",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339074635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lamplight FM PLC LLC (Lamplight of Fort Myers)
• Lana Perkins RN BS DC PA
• Kimberly Marie Land, MSW
• Jesse Landis, LCSW
• Landmark Recovery of Florida LLC
• Crystal Dawn Lane, PMHNP-BC
• Richard J Lane, MD
• Tisha Jane Lane, MS, LMHC
• Martha Tania Lange
• Carolyn F Langford, D.O.

• Pediatrics Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.