SHELBY A LANE PA-C NPI 1710230651

NPI Information

NPI: 1710230651
Provider Name: SHELBY A LANE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3319 NE 15TH CT
FORT LAUDERDALE, FL
ZIP 33304
Phone: (954) 257-7859
Get Directions

Shelby A Lane, PA-C is a surgical physician assistant in Fort Lauderdale, FL with 12 years of experience. Shelby A Lane, PA-C NPI is 1710230651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3319 NE 15TH CT
FORT LAUDERDALE, FL
ZIP 33304-709
Phone: (954) 257-7859
Fax: (954) 616-8063

The NPI 1710230651 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 10/16/2012 and was last updated on 5/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA 9106913	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	PA 9106913	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G9675Z	OTHER	FLORIDA	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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