Lazaros Poultsides, MD, MSC, PHD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

N/A Issued in ZZ

Practice address

535 E 70TH St
New York, NY 10021-4823

Phone

(212) 774-2387

NPI assigned

Jun 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1316232986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "212-774-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "212-774-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULTSIDES",
        "first_name": "LAZAROS",
        "name_prefix": "Dr.",
        "credential": "MD, MSC, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-12",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "ZZ",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Emmanuel Poulakos, D.O.
• Kathryn Marion Poulin, LMSW, MPH
• Michael Poulos
• Philip Poulos, MD
• Emma Justine Poulshock, PA-C
• Richard Poun
• Meredith H Pouncey, LCSW
• Derrick Nathaniel Pouncy
• Kenneth S Pound, PSY.D.
• Bette G. Pounds, L.C.S.W.

• Adult Reconstructive Orthopaedic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.