Active NPI
Lane R Bigler, MD
- Dermatology Physician
- Mesa, AZ
National Provider Identifier
1962451146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 23211
- Practice address
- 6832 E Brown Road
Mesa, AZ 85207-3755 - Phone
- (480) 830-8333
- Fax
- (480) 830-8390
- NPI assigned
- May 8, 2006
- Last updated
- Oct 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 23211 | AZ | Primary |
| Dermatopathology Physician | 207ND0900X | 23211 | AZ |
Addresses
Primary practice location
6832 E Brown Road
Mesa, AZ 85207-3755
Mailing address
6832 E Brown Road
Mesa, AZ 85207-3755
Phone (480) 830-8333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4579023 | Other | AZ | AETNA |
| 0375480 | Other | AZ | BCBS OF AZ |
| 070010426 | Other | AZ | RAILROAD MEDICARE |
| 2Z2465 | Other | AZ | HEALTH NET |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23211 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Care Specialists PLLC | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Mesa, AZ
- NPI 1104391655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1962451146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6832 E BROWN ROAD",
"city": "MESA",
"state": "AZ",
"postal_code": "852073755",
"telephone_number": "480-830-8333",
"fax_number": "480-830-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6832 E BROWN ROAD",
"city": "MESA",
"state": "AZ",
"postal_code": "852073755",
"telephone_number": "480-830-8333",
"fax_number": "480-830-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIGLER",
"first_name": "LANE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "23211",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "AZ",
"license": "23211",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4579023",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AZ",
"identifier": "0375480",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070010426",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2Z2465",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.