Active NPI
Diana M Lane
- Surgery Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS20244
- Practice address
- 3030 Harden Blvd BLDG 1
Lakeland, FL 33803-7952 - Phone
- (407) 707-5018
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | T5423 | TX | |
| Surgery Physician | 208600000X | OS20244 | FL | Primary |
Addresses
Primary practice location
3030 Harden Blvd BLDG 1
Lakeland, FL 33803-7952
Mailing address
7512 Dr Phillips Blvd Ste 50-792
Orlando, FL 32819-5420
Phone (407) 707-5018
Other names 1
- Diana Panciera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3030 Harden Blvd
BLDG 1
Lakeland, FL 33803-7952
Phone (407) 707-5018
Hospital & facility affiliations
- Ucf Lake Nona Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20244 | FL | MD | Surgery Physician |
| T5423 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body by Bariatrics, LLC | Surgery | Current | Accepting new patients |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Flavia Soto MD PA | Surgery | Past | Accepting new patients |
| Rowan University School of Osteopathic Medicine | Past | Accepting new patients |
Locations
3030 Harden Blvd
Bldg 1
Lakeland, FL 33803
Phone (407) 707-5018
7512 Dr Phillips Blvd
Ste 50-792
Orlando, FL 32819
12363 W Colonial Dr
Ste 120
Winter Garden, FL 34787
Phone (407) 707-5018
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
6550 Fannin St
Ste 1661
Houston, TX 77030
Phone (713) 363-9604
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- dpanciera406736@directhoustonmethodist.org
- dlane52364@lrhs.direct-ci.com
Organizations & group practices 5
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.
-
- Surgery Physician
- Winter Garden, FL
- NPI 1992414684
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Surgery Physician
- Venice, FL
- NPI 1114509304
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1083062616
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1871193664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1992233936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 DR PHILLIPS BLVD STE 50-792",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195420",
"telephone_number": "407-707-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 HARDEN BLVD BLDG 1",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338037952",
"telephone_number": "407-707-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "DIANA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "T5423",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS20244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "PANCIERA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.