Individual provider Active NPI

Jonathan I Lazzara, D.O.

  • Psychiatry Physician
  • Chillicoth, OH
National Provider Identifier
1144580085
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34.011075 Issued in OH
Practice address
4449 State Route 159
Chillicoth, OH 45601-8620
Phone
(740) 775-1260
Fax
(740) 773-1264
NPI assigned
May 25, 2012
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Psychiatry Physician 2084P0800X 0101278859 VA
Psychiatry Physician 2084P0800X 34.011075 OH Primary
General Practice Physician 208D00000X 34.011075 OH

Addresses

Primary practice location

4449 State Route 159
Chillicoth, OH 45601-8620

Mailing address

200 Medical Center Dr
Middletown, OH 45005-5200
Phone (513) 974-5252

Other practice location 1

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7557

Other identifiers 1

IdentifierTypeStateIssuer
0116608MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170425000736 OH Practitioner - PsychiatryPractitioner - Addiction MedicinePractitioner - Geriatric Psychiatry 3476876632 Reassigns benefits to 8 organizations
I20230901002607 KY Practitioner - Psychiatry 3476876632 Reassigns benefits to 1 organization
I20240131002950 VA Practitioner - Psychiatry 3476876632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

101 Harris Rd
Kilmarnock, VA 22482-3880

1510 N 28TH St
Richmond, VA 23223-5311

40 Medical Park Blvd
Petersburg, VA 23805-9289

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

900 Scioto St
Suite 1
Urbana, OH 43078-2251
Phone (937) 717-4884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Psychiatry CurrentSince Dec 5, 2022 Accepting new patients
Premier Health Specialists Inc General Practice CurrentSince Aug 31, 2019 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Adena Medical Group LLC Psychiatry CurrentSince May 14, 2018 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Oct 23, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Psychiatry CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Psychiatry CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Psychiatry CurrentSince Nov 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 1, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Psychiatry CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Psychiatry Current Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC General Practice CurrentSince Dec 5, 2022 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC Psychiatry CurrentSince Sep 1, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Aug 31, 2019 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC Psychiatry CurrentSince Oct 23, 2023 Accepting new patients
Atrium Medical Center Past Accepting new patients
Adena Health System Past Accepting new patients
Mercy Health Physicians Kentucky LLC Psychiatry Past Accepting new patients

Locations

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: jlazzara518036@direct.bsmhealth.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 5

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1144580085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-974-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 STATE ROUTE 159",
            "city": "CHILLICOTH",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-775-1260",
            "fax_number": "740-773-1264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456019031",
            "country_code": "US",
            "telephone_number": "740-779-7557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZZARA",
        "first_name": "JONATHAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101278859",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34.011075",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34.011075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116608",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.