NPIMap

Individual provider Active NPI

Daniel C Lazowick, DO

  • Internal Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1063483527
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS008535L Issued in PA
Practice address
100 E Lancaster Ave
330 Lankenau Mob West
Wynnewood, PA 19096-3450
Phone
(610) 645-6555
Fax
(610) 649-4744
NPI assigned
Jan 31, 2006
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X OS008535L PA
Internal Medicine Physician 207R00000X OS008535L PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
330 Lankenau Mob West
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave Ste 461E
Wynnewood, PA 19096-3434
Phone (610) 649-6100

Other identifiers 1

IdentifierTypeStateIssuer
0016533330007MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.lazowick.1@14079.direct.athenanet.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000031 PA Practitioner - Internal Medicine 1759320823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel C Lazowick DO LLCGroup PAC ID 3870748130, 2 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 461
Wynnewood, PA 19096-3434
Phone (610) 649-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel C Lazowick DO LLC Internal Medicine CurrentSince Feb 1, 2013 Accepting new patients
Rosen Medical Associates Past Accepting new patients
Main Line Healthcare Internal Medicine PastSince Jul 1, 2008 Accepting new patients

Locations

100 E Lancaster Ave
Ste 461
Wynnewood, PA 19096
Phone (610) 642-2570

100 E Lancaster Ave
Ste 461E
Wynnewood, PA 19096
Phone (610) 649-0500

Interoperability endpoints

  • Direct secure messaging: daniel.lazowick.1@14079.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1063483527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 461E",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963434",
            "telephone_number": "610-649-6100",
            "fax_number": "610-649-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "330 LANKENAU MOB WEST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-645-6555",
            "fax_number": "610-649-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZOWICK",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS008535L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008535L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016533330007",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.lazowick.1@14079.direct.athenanet.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "100 E Lancaster Ave",
            "address_2": "330 Lankenau MOB West",
            "city": "Wynnewood",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190963450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.