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  7. NPI Record 1548049448

LANE D ROBINSON MD LLC
Complete NPI Record 1548049448
Anesthesiology in Salem, OR

NPI Status: Active since September 28, 2023

Contact Information

2525 12TH ST SE
SALEM, OR
ZIP 97302
Phone: (503) 364-3704

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider First Line Business Practice Location Address
  11. Provider Business Practice Location Address City Name
  12. Provider Business Practice Location Address State Name
  13. Provider Business Practice Location Address Postal Code
  14. Provider Business Practice Location Address Country Code If outside U S
  15. Provider Business Practice Location Address Telephone Number
  16. Provider Enumeration Date
  17. Last Update Date
  18. Authorized Official Last Name
  19. Authorized Official First Name
  20. Authorized Official Title or Position
  21. Authorized Official Telephone Number
  22. Healthcare Provider Taxonomy Code 1
  23. Healthcare Provider Primary Taxonomy Switch 1
  24. Is Organization Subpart
  25. Authorized Official Name Prefix Text
  26. Authorized Official Credential Text
  27. Healthcare Provider Taxonomy Group 1
  28. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1548049448. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1548049448
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Entity Type Code: 2
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 1433 SOUTHWOOD CT SE
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address City Name: SALEM
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Business Mailing Address State Name: OR
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 973069555
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Mailing Address Country Code If outside U S : US
The first name of the authorized official.
Provider First Line Business Practice Location Address: 2525 12TH ST SE
The title or position of the authorized official.
Provider Business Practice Location Address City Name: SALEM
The 10-position telephone number of the authorized official.
Provider Business Practice Location Address State Name: OR
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 973022281
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 5033643704
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 9/28/2023
Last Update Date: 9/28/2023
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Authorized Official Last Name: ROBINSON
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: LANE
The first name of the authorized official.
Authorized Official Title or Position: OWNER
The title or position of the authorized official.
Authorized Official Telephone Number: 5038818997
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207L00000X
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: N
Authorized Official Name Prefix Text: DR.
Authorized Official Credential Text: MD
The date that a record was last updated or changed.
Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
NPI Certification Date: 9/28/2023