Individual provider Active NPI

Herbert Tommy Lane, DPM

  • Podiatrist
  • Englewood, FL
National Provider Identifier
1851453278
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 0002446 Issued in FL
Practice address
2400 South McCall Rd
Suite F
Englewood, FL 34224
Phone
(941) 473-3338
Fax
(941) 474-8597
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 0002446 FL Primary

Addresses

Primary practice location

2400 South McCall Rd
Suite F
Englewood, FL 34224

Mailing address

2400 South McCall Rd
Suite F
Englewood, FL 34224
Phone (941) 473-3338

Other identifiers 1

IdentifierTypeStateIssuer
P02446OtherFLFLA LIC NUMBER

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

State licenses

LicenseStateTypeSpecialty
PO 0002446FLMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1851453278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SOUTH MCCALL RD",
            "address_2": "SUITE F",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34224",
            "telephone_number": "941-473-3338",
            "fax_number": "941-474-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SOUTH MCCALL RD",
            "address_2": "SUITE F",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34224",
            "telephone_number": "941-473-3338",
            "fax_number": "941-474-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "HERBERT",
        "middle_name": "TOMMY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 0002446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLA LIC NUMBER",
            "identifier": "P02446",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.