KEITH J LANE (NPI# 1558370361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558370361 |
| Entity Type | Individual |
| Full Name | KEITH J LANE |
| Credential | MD |
| Practice Address |
82 S 1100 E 204 Salt Lake City UT 84102-1686 |
| Mailing Address |
82 S 1100 E Suite 204 Salt Lake City UT 84102-1686 |
| Practice Telephone | 8013504602 |
| Practice Fax Number | 8013504753 |
| Mailing Telephone | 8013504602 |
| Mailing Fax Number | 8013504753 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 180506-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437296142 | Keith M Lane | Dentist | 7024 Park Ave, Houma, LA 70364 | 2007-01-31 |
| Street Address |
82 S 1100 E 204 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898545 | Apothecary Shoppe, Inc | Pharmacy | 82 S 1100 E, Suite 104, Salt Lake City, UT 84102-1686 | 2005-11-18 |
| 1760920086 | Ashlie Sundwall | Specialist/Technologist | 82 S 1100 E, Salt Lake City, UT 84102-1686 | 2017-02-07 |
| 1366827503 | Chelsea Brooke Chaney | Advanced Practice Midwife | 82 S 1100 E, Suite 305, Salt Lake City, UT 84102-1686 | 2015-07-29 |
| 1093081101 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E, Suite 301, Salt Lake City, UT 84102 | 2012-03-23 |
| 1174811442 | Ryan Taylor Kitterman | Podiatrist | 82 S 1100 E, Ste 301, Salt Lake City, UT 84102-1686 | 2011-07-20 |
| 1508151341 | Jared Dee Mcphie | Podiatrist | 82 S 1100 E, Ste 301, Salt Lake City, UT 84102-1686 | 2011-06-09 |
| 1922308857 | Curtis Brandt Barton | Physical Therapist | 82 S 1100 E, Ste 301, Salt Lake City, UT 84102-1686 | 2010-10-26 |
| 1558504191 | Gwendolyn Earle Roberson | Psychologist | 82 S 1100 E, 404, Salt Lake City, UT 84102-1686 | 2009-04-13 |
| 1528220589 | Kevin Demass | Pharmacist | 82 S 1100 E, Suite 104, Salt Lake City, UT 84102-1686 | 2008-06-30 |
| 1073773107 | Andrew D Cooper Md PC | Orthopaedic Surgery | 82 S 1100 E, Suite 303, Salt Lake City, UT 84102-1686 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215424759 | Jacob Klewer | Internal Medicine | 50 N Medical Dr University Hospital, Salt Lake City, UT 84132-0001 | 2018-04-19 |
| 1710412531 | Melissa Anne Pender | Internal Medicine | University of Utah Health, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-30 |
| 1770018277 | Karma-jaya Elliott | Internal Medicine | The University of Utah 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-04-22 |
| 1982050126 | Lloyd Petty | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-05-06 |
| 1164884391 | Josephine Wright | Internal Medicine | University of Utah 30 North 1900 East 4c104, Salt Lake City, UT 84132-0001 | 2016-03-26 |
| 1750769220 | Diagnopy, LLC | Internal Medicine | 4285 S Highland Dr, Salt Lake City, UT 84124-2603 | 2015-05-15 |
| 1053798553 | Kenneth Jay Nielson | Internal Medicine | 1794 S Wasatch Dr, Salt Lake City, UT 84108-3366 | 2015-05-04 |
| 1255726469 | Whitney Kay Haseman | Internal Medicine | The University of Utah Som Dept of Medicine, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417342601 | Jennifer Kaye Shepard | Internal Medicine | The University of Utah School of Medicine Dept Ofmed, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417340704 | Nilma A Malik | Internal Medicine | 15 N 2030 E, Division of Endocrinology, University of Utah, Salt Lake City, UT 84112-5339 | 2015-03-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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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.