Individual provider Active NPI

David L Lazar, M.D.

  • Rheumatology Physician
  • Myrtle Beach, SC
National Provider Identifier
1225320666
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
40529 Issued in SC
Practice address
945 82ND Pkwy
Myrtle Beach, SC 29572-4612
Phone
(843) 497-5929
Fax
(877) 316-4124
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 40529 SC Primary
Internal Medicine Physician 207R00000X 40529 SC

Addresses

Primary practice location

945 82ND Pkwy
Myrtle Beach, SC 29572-4612

Mailing address

PO Box 3439
North Myrtle Beach, SC 29582-0439
Phone (843) 839-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20170330000214 SC Practitioner - Rheumatology 4486886801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strand Physician Specialists PAGroup PAC ID 1153226576, 56 clinicians

Practice addresses (Care Compare)

4591 Socastee Blvd
Myrtle Beach, SC 29588-7209
Phone (843) 497-5929

Hospital & facility affiliations

  • Tidelands Georgetown Memorial Hospital Hospital, Georgetown, SC, CCN 420020
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Strand Physician Specialists, PA Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Strand Physician Specialists, PA Internal Medicine Current Accepting new patients
Strand Physician Specialists, PA Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients

Locations

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

4591 Socastee Blvd
Myrtle Beach, SC 29588

945 82nd Pkwy
Myrtle Beach, SC 29572

Interoperability endpoints

  • Direct secure messaging: david.lazar.1@842.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1225320666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3439",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295820439",
            "telephone_number": "843-839-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724612",
            "telephone_number": "843-497-5929",
            "fax_number": "877-316-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "SC",
            "license": "40529",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "40529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.