Individual provider Active NPI

Sherri A Jonas-Lazin, MD

  • Internal Medicine Physician
  • Lakewood Ranch, FL
National Provider Identifier
1164448718
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME59445 Issued in FL
Practice address
6320 Venture Dr
Suite 205
Lakewood Ranch, FL 34202-5130
Phone
(941) 924-9955
Fax
(941) 924-5616
NPI assigned
Jul 15, 2006
Last updated
Apr 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME59445 FL Primary

Addresses

Primary practice location

6320 Venture Dr
Suite 205
Lakewood Ranch, FL 34202-5130

Mailing address

7313 International PL
Suite 80
Lakewood Ranch, FL 34240
Phone (941) 907-1190

Other identifiers 2

IdentifierTypeStateIssuer
ME59445OtherFLLICENSE NUMBER
P00376714OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000797 FL Practitioner - Internal Medicine 5799740346

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of South Florida, LLC PastSince Mar 1, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2982/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1164448718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 INTERNATIONAL PL",
            "address_2": "SUITE 80",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "34240",
            "telephone_number": "941-907-1190",
            "fax_number": "941-907-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 VENTURE DR",
            "address_2": "SUITE 205",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025130",
            "telephone_number": "941-924-9955",
            "fax_number": "941-924-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAS-LAZIN",
        "first_name": "SHERRI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ME59445",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00376714",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.