REBECCA T. LANE (NPI# 1487031704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487031704 |
| Entity Type | Individual |
| Full Name | REBECCA T. LANE |
| Credential | M.D. |
| Practice Address |
3401 Civic Center Blvd Philadelphia PA 19104 |
| Mailing Address |
3401 Civic Center Blvd Philadelphia PA 19104-4319 |
| Practice Telephone | 2155906336 |
| Mailing Telephone | 2155906336 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301107078 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MT215011 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376044875 | Rebecca Lane | Occupational Therapy Assistant | 9891 Broken Land Pkwy Ste 306, Columbia, MD 21046-3004 | 2018-02-21 |
| 1992250054 | Rebecca Lane | Licensed Practical Nurse | 40 Maple Rd, Rocky Point, NY 11778-8715 | 2016-08-18 |
| 1205204492 | Rebecca J Lane | Social Worker | 13510 N Creek Dr Apt U204, Mill Creek, WA 98012-4403 | 2015-09-04 |
| 1386207009 | Rebecca Lane | Student in an Organized Health Care Education/Training Program | 4300 Alton Rd, Miami Beach, FL 33140-2948 | 2019-04-18 |
| 1649742537 | Rebecca Ann Lane | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2018-12-18 |
| 1396247458 | Rebecca Elizabeth Lane | Counselor | 1129 W Iron Springs Rd, Prescott, AZ 86305-1623 | 2018-03-05 |
| 1730692138 | Rebecca Lane | Occupational Therapist | 1 Arbor Ter, Fenton, MO 63026-3900 | 2017-11-08 |
| 1902349624 | Rebecca Kristine Lane | Occupational Therapist | 163 Charter Oak Rd, Lexington, SC 29072-9246 | 2016-11-29 |
| 1801218219 | Rebecca Sue Lane | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2014-01-20 |
| 1356599302 | Rebecca Ashley Lane | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2008-09-03 |
| Street Address |
3401 CIVIC CENTER BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| 1932700259 | Rukhsar Karim Machiwalla | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-11-03 |
| 1346840519 | Vanessa Leigh Jones | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-27 |
| 1275131849 | Kelsey Ann Maher | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-15 |
| 1437756020 | Jennifer-rose Eccles | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-06 |
| 1891309787 | Morgan Mcmanus | Genetic Counselor, MS | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-08 |
| 1891309456 | Abigail G Stefanides | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-01 |
| 1124631247 | Abrar Khaled Alabdulhadi | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-28 |
| 1003427014 | Terrence Caldwell Jr. | Pharmacist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-13 |
| 1760093298 | Paige Emily Naschke | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466913 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-10-27 |
| 1144852567 | Stc Pediatrics LLC | Pediatrics | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2020-02-05 |
| 1649831736 | Samar Hamdan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-06-28 |
| 1003349838 | Rosalind Usher | Pediatrics | 3401 Civic Center Blvd, Division of Developmental and Behavioral Pediatrics, Philadelphia, PA 19104-4319 | 2017-04-08 |
| 1780048405 | Elizabeth Van De Graaf Janofsky | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104 | 2016-04-08 |
| 1538553060 | Kathryn Nicole Hurst | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104 | 2015-03-23 |
| 1770926206 | Sandhyaa Sudha Iyengar | Pediatrics | 3550 Market St, Philadelphia, PA 19104-3329 | 2013-04-15 |
| 1073659272 | Shyamali V Godbole | Pediatrics | 5501 Old York Rd, Levy 2 West, Philadelphia, PA 19141-3018 | 2007-01-29 |
| 1548355597 | Childrens Health Care Associates, Inc | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 | 2006-10-04 |
| 1558325589 | Maureen A. Fee | Pediatrics | 3601 A St, St. Christopher's Hospital for Children, Philadelphia, PA 19134-1043 | 2006-04-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.