GEORGE W LANE SR. (NPI# 1740227032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740227032 |
| Entity Type | Individual |
| Full Name | GEORGE W LANE SR. |
| Credential | MD |
| Practice Address |
5401 N Knoxville Ave Suite 400 Peoria IL 61614-5098 |
| Practice Telephone | 3096926644 |
| Practice Fax Number | 3096928992 |
| Mailing Telephone | 3096926644 |
| Mailing Fax Number | 3096928992 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 03064025 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | 200041572 | 01 |
| IL | DME | 4281670001 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 7230175 | 01 |
| IL | 036064025 | 05 | |
| IL | HEALTHLINK | 148547 | 01 |
| IL | HEALTH ALLIANCE | 050053 | 01 |
| IL | JOHN DEERE | IL0102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508951278 | George Robert Lane | Chiropractor | 401 Park Drive, Marengo, IL 60152 | 2006-10-04 |
| 1770566408 | George Douglas Lane | Podiatrist | 510 W Annandale Rd, Falls Church, VA 22046-4226 | 2005-11-28 |
| Street Address |
5401 N KNOXVILLE AVE SUITE 400 |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597450 | Edward A Rufus Jr | Internal Medicine | 5401 N Knoxville Ave, Suite 306, Peoria, IL 61614-5098 | 2005-06-10 |
| 1366984015 | Taylor Jeanette Simmons | Specialist/Technologist | 5401 N Knoxville Ave, Suite 103, Peoria, IL 61614-5098 | 2016-11-11 |
| 1518416254 | Illinois Regional Pain Institute | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2016-09-22 |
| 1700331030 | Deb M Schleich | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2016-08-16 |
| 1154876498 | Kimberly K Lopez | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2016-08-16 |
| 1417320854 | Amy B Pheiffer | Clinical Nurse Specialist | 5401 N Knoxville Ave, Suite 109, Peoria, IL 61614-5098 | 2015-11-06 |
| 1558732370 | Leah Tabor | Specialist/Technologist, Other | 5401 N Knoxville Ave, Suite 117, Peoria, IL 61614 | 2015-10-20 |
| 1679944334 | Midwest Pain & Spine Center, LLC | Specialist | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2015-10-07 |
| 1124495379 | Anne Webster | Nurse Practitioner | 5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098 | 2015-08-24 |
| 1720461353 | Hometown Hearing & Audiology, Inc. | Audiologist | 5401 N Knoxville Ave, 116, Peoria, IL 61614-5011 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295077493 | Jason Le | Orthopaedic Surgery | 6760 W Thunderbird Rd Ste E110, Peoria, AZ 85381-5027 | 2013-03-26 |
| 1699044362 | Albert Novotny | Orthopaedic Surgery | 405 W Ravinwoods Rd, Peoria, IL 61615-1366 | 2011-12-23 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1114030491 | Dana G Seltzer | Orthopaedic Surgery | 7797 W Paradise Ln Ste 130, Peoria, AZ 85382-5011 | 2006-08-17 |
| 1114928942 | Michael S Merkley | Orthopaedic Surgery | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2005-08-02 |
| 1487262085 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 21465 N 78th Ave Ste 170, Peoria, AZ 85382-3359 | 2020-07-20 |
| 1992345664 | Physician Group of Arizona Inc | Orthopaedic Surgery | 7727 W Deer Valley Rd, Suite 210, Peoria, AZ 85382-2120 | 2020-01-10 |
| 1245658707 | Rafael Antonio Buerba Siller | Orthopaedic Surgery | 9165 W Thunderbird Rd, Peoria, AZ 85381-4847 | 2014-04-02 |
| 1407084635 | Luke Michael Luetkemeyer | Orthopaedic Surgery | 6000 N Allen Rd, Peoria, IL 61614-3294 | 2009-06-25 |
| 1225287428 | Robert Arthur Kinzinger | Orthopaedic Surgery | 303 N William Kumpf Blvd, Peoria, IL 61605-2507 | 2008-09-11 |
| Find all providers in PEORIA | ||||
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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.