KATHERINE S LANE (NPI# 1568490969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568490969 |
| Entity Type | Individual |
| Full Name | KATHERINE S LANE |
| Credential | M.D. |
| Practice Address |
656 State St Bangor ME 04401-5609 |
| Mailing Address |
30 Treworgy Ln Surry ME 04684-3766 |
| Practice Telephone | 2079414036 |
| Practice Fax Number | 2079414062 |
| Mailing Telephone | 2079414080 |
| Mailing Fax Number | 2079414077 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
006910 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285983817 | Katherine Carlisle Lane | Internal Medicine | 3459 5th Ave Ste 9, Pittsburgh, PA 15213-3236 | 2012-08-29 |
| 1407319650 | Katherine Olga Lane | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2019-04-12 |
| 1841773330 | Katherine Lane | Audiologist | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2018-09-11 |
| 1275021917 | Katherine Jean Lane | Dietitian, Registered | 8720 14th Ave S, Seattle, WA 98108-4807 | 2018-04-27 |
| 1427545011 | Katherine Elizabeth Lane | Behavioral Analyst | 10 Mohawk Dr, Londonderry, NH 03053 | 2018-04-18 |
| 1568961316 | Katherine Rose Lane | Marriage & Family Therapist | 1200 N Main St Ste 301, Santa Ana, CA 92701-3640 | 2018-02-07 |
| 1275934788 | Katherine May Lane | Nurse Practitioner | 1639 W Morris Blvd, Morristown, TN 37813-2832 | 2014-09-16 |
| 1730321621 | Katherine Anne Lane | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2009-03-24 |
| 1992913891 | Katherine Dawn Lane | Specialist | 212 S Main St, Mount Vernon, OH 43050 | 2007-05-21 |
| 1417179029 | Katherine A Lane | Ophthalmology | 51 N 39th St, Philadelphia, PA 19104-2640 | 2007-05-03 |
| Street Address |
656 STATE ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776146 | State of Maine | Psychiatric Hospital | 656 State St, Bangor, ME 04401-5609 | 2005-08-09 |
| 1770018616 | Michele Hryc | Counselor | 656 State St, Bangor, ME 04401-5609 | 2017-04-28 |
| 1184020091 | State of Maine | Community/Behavioral Health | 656 State St, Bangor, ME 04401-5609 | 2014-11-05 |
| 1578776233 | Sandra J. Feverston | Pharmacist | 656 State St, Bangor, ME 04401-5609 | 2007-05-08 |
| 1023165081 | Maurice Pare | Family Medicine | 656 State St, Bangor, ME 04401-5609 | 2007-01-04 |
| 1003905647 | Judy A Burk | Psychiatry & Neurology | 656 State St, Dorothea Dix Psychiatric Center, Bangor, ME 04401-5609 | 2006-10-12 |
| 1679667851 | Bruce S Freedberg | Psychologist | 656 State St, Bangor, ME 04401-5609 | 2006-10-03 |
| 1295830479 | Kam Denise Atwood | Occupational Therapist | 656 State St, Bangor, ME 04401-5609 | 2006-09-13 |
| 1467554253 | Gary Greenlaw | Social Worker | 656 State St, Bangor, ME 04401-5609 | 2006-09-02 |
| 1003928540 | Jeffrey Whitehead Aston | Psychologist | 656 State St, Bangor, ME 04401-5609 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259410 | Penobscot Community Health Center | Family Medicine | 1068 Union St, Bangor, ME 04401-3016 | 2019-11-08 |
| 1023165081 | Maurice Pare | Family Medicine | 656 State St, Bangor, ME 04401-5609 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811376072 | Devan Cole Lucier | Family Medicine | 300 Southborough Dr Ste 210, South Portland, ME 04106-6914 | 2015-05-21 |
| 1316353170 | Peter Kouros | Family Medicine | 6 Hillcrest Dr, Cape Elizabeth, ME 04107-2103 | 2014-07-01 |
| 1396918454 | Charles A Pernice | Family Medicine | 1 Togus Va, Augusta, ME 04330 | 2008-04-10 |
| 1437354255 | Maria Teresa Zientara | Family Medicine | 1410 River Rd, Calais, ME 04619-4215 | 2007-06-20 |
| 1801931969 | Leslie Colt Harding | Family Medicine | 12 Church Street, Jay, ME 04239 | 2007-02-20 |
| 1437790144 | Victoria Feltner | Family Medicine | 5721 Cutler Health Ctr, Orono, ME 04469-5721 | 2019-10-03 |
| 1184713471 | Christopher W Meserve | Family Medicine | 1 Wellness Way, Suite A, Topsham, ME 04086-1768 | 2006-10-12 |
| 1275633646 | Maurice C Hothem | Family Medicine | 222 Auburn St, Suite 101, Portland, ME 04103-6004 | 2006-09-25 |
| 1598788580 | Melanie May Thompson | Family Medicine | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-07-25 |
| 1326087339 | Jere Micheal Renner | Family Medicine | 1 Va Ctr, Togus, ME 04330-6719 | 2006-06-05 |
| Find all providers with the same taxonomy | ||||
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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.