LANE D ROBINSON MD LLC
Complete NPI Record 1548049448
Anesthesiology in Salem, OR
NPI Status: Active since September 28, 2023
- NPI
- Entity Type Code
- Employer Identification Number EIN
- Provider Organization Name Legal Business Name
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Enumeration Date
- Last Update Date
- Authorized Official Last Name
- Authorized Official First Name
- Authorized Official Title or Position
- Authorized Official Telephone Number
- Healthcare Provider Taxonomy Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Organization Subpart
- Authorized Official Name Prefix Text
- Authorized Official Credential Text
- Healthcare Provider Taxonomy Group 1
- 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.
- Provider Organization Name Legal Business Name: LANE D ROBINSON MD LLC
- 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.
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- The first name of the authorized official.
- The title or position of the authorized official.
- 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
- 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