Jeffrey Alan Lane, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00015927 Issued in WA

Practice address

13151 92ND Ave NE
Kirkland, WA 98034-5902

Phone

(973) 446-5535

Fax

(425) 825-3902

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Longevity Medical Clinic

  • Specialist
  • Kirkland, WA
  • NPI 1023231172
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1841413952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13151 92ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345902",
            "telephone_number": "973-446-5535",
            "fax_number": "425-825-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 92ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345902",
            "telephone_number": "973-446-5535",
            "fax_number": "425-825-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00015927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliabeth Marie Landdeck, PTA
• Dorothy F Landeen
• Megan E Landis Ferestien, PA-C
• Michelle Landolt
• Heather Landsberger, RN
• Kimberly Dianne Langdon, RD, CD
• Karl Joseph Lange, P.T.
• Sarah L Lange, DPT
• Nicholas Langelotti, PT
• Domenique Rose Langheier

• Family Medicine Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.