PETER S LANE (NPI# 1740218965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740218965 |
| Entity Type | Individual |
| Full Name | PETER S LANE |
| Credential | DO |
| Practice Address |
619 19th Street South Birmingham AL 35233 |
| Mailing Address |
Po Box 55310 Birmingham AL 35255-5310 |
| Practice Telephone | 2059346600 |
| Mailing Telephone | 2057319701 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
DO443 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC FEDERAL EHBP | 051510286 | 01 |
| AL | BLUE CROSS | 051527838 | 01 |
| AL | 891010080 | 05 | |
| AL | BLUE CROSS | 051504527 | 01 |
| AL | 051504527 | 05 | |
| AL | RAILROAD MEDICARE | 260048745 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386727360 | Peter A Lane Jr. | Internal Medicine | 2015 Uppergate Dr, 4th Fl, Atlanta, GA 30322 | 2006-10-23 |
| Street Address |
619 19TH STREET SOUTH |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063716 | Edgar S Underwood | Radiology | 619 19th Street South, Birmingham, AL 35233 | 2005-06-15 |
| 1518472216 | Kara Burns | Anesthesiology | 619 19th Street South, Birmingham, AL 35249 | 2017-12-05 |
| 1134586019 | Cari Evans | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-22 |
| 1366808933 | Kalin Swenson | Nurse Anesthetist, Certified Registered | 619 19th Street South, Birmingham, AL 35294 | 2016-01-12 |
| 1912392283 | Brian Trieu | Radiology | 619 19th Street South, Jefferson Tower N468, Birmingham, AL 35249 | 2015-04-02 |
| 1366873135 | John Douglas Mcrae | Nurse Practitioner | 619 19th Street South, Wp P915, Birmingham, AL 35245-5600 | 2013-12-04 |
| 1851731533 | Stephen William Knight | Emergency Medicine | 619 19th Street South, Birmingham, AL 35255-5309 | 2013-06-26 |
| 1649517996 | Ann Seay Adams | Nurse Practitioner | 619 19th Street South, Birmingham, AL 35233 | 2013-01-07 |
| 1780943852 | John Taylor Jones | Radiology | 619 19th Street South, Jt N338, Birmingham, AL 35249-1900 | 2012-05-10 |
| 1033425764 | Alex Torres Iannone | Hospitalist | 619 19th Street South, P915, Birmingham, AL 35294 | 2010-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
| 1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
| 1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
| 1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
| 1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
| 1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
| 1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
| 1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
| Find all providers in zip 35233 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225007172 | Jill K Billions | Internal Medicine | 619 19th St S, Birmingham, AL 35249-1900 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700829827 | Ellen Andrews Ovson | Internal Medicine | 1600 Browns Ferry Rd, Madison, AL 35758-9601 | 2006-06-14 |
| 1538540729 | Madison Medical Associates | Internal Medicine | 3809 Sullivan St, Suite 4, Madison, AL 35758-2372 | 2015-06-12 |
| 1265512834 | Michael Wayne Wilkerson | Internal Medicine | 1189 Allbritton Rd, Warrior, AL 35180-2663 | 2006-10-17 |
| City | BIRMINGHAM |
| Zip Code | 35233 |
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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.