DR. LANE LAMAR WALL (NPI# 1811989676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811989676 |
Entity Type | Individual |
Full Name | DR. LANE LAMAR WALL |
Credential | M.D. |
Practice Address |
Bldg 813 Room 104 Fort Carson CO 80913 |
Practice Telephone | 7195247350 |
Mailing Telephone | 7195247350 |
Enumeration Date | 2005-08-18 |
Last Update Date | 2015-04-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
182257-1205 | UT | Allopathic & Osteopathic Physicians |
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
182257-1205 | UT | Allopathic & Osteopathic Physicians |
Street Address |
BLDG 813 ROOM 104 |
City | FORT CARSON |
State | CO |
Zip Code | 80913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
Find all providers in zip 80913 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649247693 | Curry E Horak | Preventive Medicine | Usa Meddac Evans Army Community Hospital, Medical Boards, Fort Carson, CO 80913-4064 | 2006-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894963 | Scl Health Medical Group - Denver, LLC | Preventive Medicine | 8515 W Coal Mine Ave Ste 240, Littleton, CO 80123-4429 | 2020-09-04 |
1568070944 | Scl Health Medical Group - Denver, LLC | Preventive Medicine | 8350 Colorado Blvd Unit 160, Firestone, CO 80504-6803 | 2020-07-21 |
1275171977 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2773 Janitell Rd, Colorado Springs, CO 80906-4102 | 2019-12-13 |
1548776784 | Telecare Global LLC | Preventive Medicine | 11 Salvation Circle, Aspen, CO 81611 | 2017-12-26 |
1306363650 | Bonnie Belinda Mccafferty | Preventive Medicine | Denver Federal Center, Federal Occupational Health, Building 25, Entrance E-14, Lakewood, CO 80225-0145 | 2017-08-28 |
1447784087 | Colorado Occupational Partners, Inc. | Preventive Medicine | 1390 S Potomac St Ste 136, Aurora, CO 80012-4529 | 2017-04-19 |
1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
1144598855 | Daniel Thau Teitelbaum | Preventive Medicine | 355 Ogden St, Denver, CO 80218-3867 | 2011-12-08 |
1952604985 | Michael Verne Ladwig | Preventive Medicine | 6900 E 47th Avenue Dr Ste 100, Denver, CO 80216-3449 | 2010-12-14 |
1831374776 | Lisa Beth Ferstenberg | Preventive Medicine | 302 W Orman Ave, Pueblo, CO 81004-1855 | 2008-01-09 |
Find all providers with the same taxonomy |
City | FORT CARSON |
Zip Code | 80913 |
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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.