TIMOTHY F LANE (NPI# 1003878679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003878679 |
| Entity Type | Individual |
| Full Name | TIMOTHY F LANE |
| Credential | MD |
| Practice Address |
1805 Hennepin Ave N Glencoe MN 55336-1416 |
| Practice Telephone | 3208643121 |
| Mailing Telephone | 3208643121 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2008-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20881 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225429442 | Timothy M Lane | Psychologist | 209 Travis St Ste 101, Roanoke, TX 76262-8661 | 2015-02-10 |
| 1568850543 | Timothy Gerald Lane | Internal Medicine | 1393 Grandview Blvd, Kissimmee, FL 34744-6611 | 2014-12-29 |
| 1104093962 | Timothy Albert Lane | Anesthesiology | 17 Wills Point Rd, Montauk, NY 11954-5198 | 2008-05-12 |
| 1295334639 | Timothy Stanley Lane | Counselor | 50 Eastbrook Bnd Ste B, Peachtree City, GA 30269-1530 | 2020-10-17 |
| 1144776113 | Timothy Palmer Lane | Physician Assistant | 21321 E Ocotillo Rd, Queen Creek, AZ 85142-5996 | 2016-08-30 |
| 1215324769 | Timothy Austin Lane | Emergency Medicine | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-04-22 |
| 1215131123 | Timothy G Lane | Emergency Medicine | 601 Colliers Way, Weirton, WV 26062-5014 | 2007-06-13 |
| 1871717736 | Timothy M Lane | Dentist | 609 Maitland Ave, Suite 1, Altamonte Springs, FL 32701-6840 | 2007-04-12 |
| 1790722544 | Timothy Walter Lane | Internal Medicine | 301 E Wendover Ave, Suite 111, Greensboro, NC 27401-1230 | 2006-06-01 |
| 1851398424 | Timothy T Lane | Orthopaedic Surgery | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2005-06-28 |
| Street Address |
1805 HENNEPIN AVE N |
| City | GLENCOE |
| State | MN |
| Zip Code | 55336-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647822 | Robert A Larter | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2005-08-30 |
| 1285120477 | Nicole Nash | Registered Nurse | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2018-07-10 |
| 1750899209 | Lindsay Jo Mccain | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2018-01-18 |
| 1265951339 | Logan Becker | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2017-09-11 |
| 1083081582 | Patricia Jeanette De Loyal | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2015-09-01 |
| 1477938058 | Abigail Frericks Bennett | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2015-07-24 |
| 1619357167 | Michele Schuberg | Nurse Practitioner | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2015-05-30 |
| 1225435746 | Jennifer Keltgen | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1134526650 | Kelsey Nowak | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1396142089 | Jennifer Keenan | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316429160 | Lisa M Thompson | Speech-Language Pathologist | 2105 Hennepin Avenue North, Glencoe, MN 55336 | 2018-08-29 |
| 1609207943 | Sherry Sue Henkelmann | Respite Care | 7768-160th St., Glencoe, MN 55336 | 2013-12-12 |
| 1528277449 | Kelly Jo Higgins | Pharmacist | 2211 11th St. E., Glencoe, MN 55336 | 2007-05-21 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1790863751 | Merrill D Nelson | Dentist | 1015 Greeley Ave, Glencoe, MN 55336 | 2006-11-01 |
| 1902982481 | Michelle Marie Quale | Registered Nurse | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2006-10-27 |
| 1417912122 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 1209 Greeley Avenue, Glencoe, MN 55336 | 2006-04-18 |
| 1154319705 | Kristine Leonard Knudten | Family Medicine | 1805 Hennepin Ave North, Glencoe, MN 55336 | 2005-10-07 |
| 1841640091 | Rachael Stoebe | Hearing Instrument Specialist | 2915 10th St E, Glencoe, MN 55336 | 2016-06-20 |
| 1417149113 | Bryan James Fritsch | Internal Medicine | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2007-08-16 |
| Find all providers in zip 55336 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659617405 | Jane Ann Forester | Family Medicine | 770 Bluff St, Glencoe, IL 60022-1505 | 2012-12-26 |
| 1730102369 | Karen Stone | Family Medicine | 700 Chastain Blvd W, Glencoe, AL 35905-2011 | 2006-07-25 |
| 1154319705 | Kristine Leonard Knudten | Family Medicine | 1805 Hennepin Ave North, Glencoe, MN 55336 | 2005-10-07 |
| 1831533512 | Kristen Lynn Budahn | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2013-04-24 |
| 1417248568 | Tyler James Helland | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2011-04-25 |
| 1083692008 | James W Jessen | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2006-01-09 |
| 1013998517 | Michael Patrick Mccarthy | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2005-11-10 |
| 1487643813 | Brent S Williams | Family Medicine | 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336-1416 | 2005-10-18 |
| 1598754335 | Amanda Elizabeth Leino | Family Medicine | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2005-10-14 |
| 1225027162 | Douglas Lee Wagoner | Family Medicine | 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN 55336-1416 | 2005-10-13 |
| Find all providers in GLENCOE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.