Individual provider Active NPI

David Holt Lane, MD

  • Anesthesiology Physician
  • Excelsior, MN
National Provider Identifier
1821236688
Registry record updated Jan 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
52897-20 Issued in WI
Practice address
50 Interlachen LN
Excelsior, MN 55331-9469
Phone
(952) 401-6200
Fax
(952) 401-6201
NPI assigned
Jan 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 52897-20 WI Primary
Anesthesiology Physician 207L00000X 42949 MN
Anesthesiology Physician 207L00000X 5273 ND
Anesthesiology Physician 207L00000X 35-093507 OH

Addresses

Primary practice location

50 Interlachen LN
Excelsior, MN 55331-9469

Mailing address

50 Interlachen LN
Excelsior, MN 55331-9469
Phone (952) 401-6200

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42949MNMDAnesthesiology Physician
5273NDMDAnesthesiology Physician
35-093507OHMDAnesthesiology Physician
52897-20WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Corportation of America Holdings Past Accepting new patients
Independent Professionals PC Anesthesiology PastSince Sep 8, 2005 Accepting new patients
Peter a Vogt MD PA Past Accepting new patients
Racine Anesthesia Services, LLC Anesthesiology Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295740800000",
    "number": "1821236688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 INTERLACHEN LN",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319469",
            "telephone_number": "952-401-6200",
            "fax_number": "952-401-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 INTERLACHEN LN",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319469",
            "telephone_number": "952-401-6200",
            "fax_number": "952-401-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DAVID",
        "middle_name": "HOLT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2011-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "52897-20",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "42949",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ND",
            "license": "5273",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35-093507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; 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.