Robert C Lane (NPI# 1699741082, PAC ID# 5698758456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699741082 |
| PAC ID by PECOS | 5698758456 |
| Professional Enrollment ID | I20100331001216 |
| Full Name | Robert C Lane |
| Organization Legal Name | IZARD COUNTY MEDICAL CENTER LLC |
| Address |
61 Grasse St Calico Rock AR 72519-7013 |
| Phone Number | 8702973726 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 9739459215 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041306 | COMMUNITY MEDICAL CENTER IZARD COUNTY |
| 040027 | BAXTER REGIONAL MEDICAL CENTER |
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 61 Grasse St, Calico Rock, AR 72519-7013 | 8702973726 | IZARD COUNTY MEDICAL CENTER LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | IZARD COUNTY MEDICAL CENTER LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thelma Owens | Nurse Practitioner | Izard County Medical Center LLC | 61 Grasse St, Calico Rock, AR 72519-7013 |
| Ray E Stahl | General Surgery | Izard County Medical Center LLC | 61 Grasse St, Calico Rock, AR 72519-7013 |
| Street Address |
61 GRASSE ST |
| City | CALICO ROCK |
| State | AR |
| Zip | 72519-7013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thelma Owens | Nurse Practitioner | Izard County Medical Center LLC | 61 Grasse St, Calico Rock, AR 72519-7013 |
| Ray E Stahl | General Surgery | Izard County Medical Center LLC | 61 Grasse St, Calico Rock, AR 72519-7013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shad A Mcclain | Chiropractic | 201 Hwy 223, Calico Rock, AR 72519-0373 | |
| Kari Lindsey | Nurse Practitioner | Baxter Regional Health System | 2161 Hwy 56, Calico Rock, AR 72519-7009 |
| Bethany L Knight | Internal Medicine | White River Health System Inc | 35 Grasse St, Wrhs Grasse Memorial Clinic, Calico Rock, AR 72519-8831 |
| Donald Obe Wright | Family Medicine | White River Health System Inc | 35 Grasse St, Wrhs Grasse Memorial Clinic, Calico Rock, AR 72519-8831 |
| Kristie D Branscum | Nurse Practitioner | White River Health System Inc | 35 Grasse St, Wrhs Grasse Memorial Clinic, Calico Rock, AR 72519-8831 |
| City | CALICO ROCK |
| Zip Code | 72519 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CALICO ROCK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert C Lane.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.