Active NPI
Lauren Eversmeyer
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 66236
- Practice address
- 424 S 56TH St Ste 110
Phoenix, AZ 85034-2177 - Phone
- (602) 685-5166
- Fax
- (602) 685-5325
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 66236 | AZ | Primary |
Addresses
Primary practice location
424 S 56TH St Ste 110
Phoenix, AZ 85034-2177
Mailing address
PO Box 42210
Phoenix, AZ 85080-2210
Phone (623) 266-7770
Other practice location 1
505 Parnassus Ave
Suite M590
San Francisco, CA 94143-2204
Phone (415) 353-1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220822002896 | AZ | Practitioner - Pathology | 2567845688 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Missouri, Columbia School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clin-Path PathologyPathology Specialist of Arizona, LLP
Practice addresses (Care Compare)
424 S 56TH St
Suite 110
Phoenix, AZ 85034-2177
Phone (602) 685-5166
Hospital & facility affiliations
- Banner Gateway Medical Center
- Abrazo Arrowhead Hospital
- Banner Desert Medical Center
- Banner Thunderbird Medical Center
- Chandler Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.75 of 100
- Quality
- 75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clin-Path Pathology | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Specialist of Arizona, LLP | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Sonoran Radiology LTD | Past | Accepting new patients | |
| Clin-Path Diagnostics, LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
424 S 56th St
Ste 110
Phoenix, AZ 85034
Phone (480) 478-8057
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
4313 E Cotton Center Blvd
Ste 120
Phoenix, AZ 85040
Phone (480) 478-8000
424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059
1255 W Washington St
Tempe, AZ 85288
Phone 602685521145166
2109 S 48th St
Ste 102
Tempe, AZ 85282
Phone (602) 424-2889
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1922079706
Anatomic Pathology & Clinical Pathology, AZ
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1174503999
Anatomic Pathology & Clinical Pathology, AZ
-
- Anatomic Pathology & Clinical Pathology Physician
- Tempe, AZ
- NPI 1154350932
Anatomic Pathology & Clinical Pathology
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Hospital & facility affiliations 6
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": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1174986145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42210",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850802210",
"telephone_number": "623-266-7770",
"fax_number": "623-322-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 S 56TH ST STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850342177",
"telephone_number": "602-685-5166",
"fax_number": "602-685-5325"
}
],
"practiceLocations": [
{
"address_1": "505 Parnassus Ave",
"address_2": "Suite M590",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432204",
"country_code": "US",
"telephone_number": "415-353-1613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVERSMEYER",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "66236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.