Peggy Rechthand Lazerow, M.D.
Individual provider Active NPI Neurology with Special Qualifications in Child Neurology Physician · Baltimore, MD
NPI 1063706752 · NPPES record last updated Mar 8, 2022
Key facts
- NPI
- 1063706752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License
- D81678 (MD)
- Practice address
- 5051 Greenspring Ave
Baltimore, MD 21209-4354 - Phone
- (410) 601-8300
- Fax
- (410) 601-8227
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170703000752 | MD | Practitioner - Neurology |
9133413016 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P26510 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Pediatrics Assoc PA | Current |
Accepting new patients | |
| University of Maryland Pediatric Associates, PA | Pediatrics | Current |
Accepting new patients |
| Sinai Hospital of Baltimore Inc | Current |
Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current |
Accepting new patients | |
| Sinai Hospital of Baltimore, Inc | Neurology With Special Qualifications in Child Neurology | Current |
Accepting new patients |
| University of Maryland Pediatric Associates, PA | Pediatrics | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441
2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900
5051 Greenspring Ave
Ste 202
Baltimore, MD 21209
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
2401 W Belvedere Ave
Baltimore, MD 21215
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
1302 Bellona Ave
Lutherville Timonium, MD 21093
Phone (410) 825-6810
Interoperability endpoints
- plazerow1060274@direct.umm.edu
- plazerow43868@direct.kennedykrieger.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P26510 | MD | |
| Neurology Physician | 2084N0400X | D81678 | MD | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | D81678 | MD | Yes |
Addresses
Primary practice location
5051 Greenspring Ave
Baltimore, MD 21209-4354
Mailing address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Other practice location 1
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-9368
Other providers in Baltimore, MD
- Lachelle Maureen Lazarus
- Morgana Lazarus
- Adi Lazary-Dagan
- Edith Lazenby
- Shydira N Lazenby
- Kristina Merritt Lazicki
- Stessy Lazo
- Nicole Lazor
- Paul Lazor
- Alexandra Lazzara
All providers in Baltimore, MD · Neurology with Special Qualifications in Child Neurology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.