John Nelson Lazenby III, MHS, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

3133 Issued in OK

Practice address

4 E Clark Bass Blvd Ste 302
McAlester, OK 74501-4269

Phone

(918) 426-4306

NPI assigned

Jan 20, 2020

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Tribe of OklahomaGroup PAC ID 4880675768, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
• Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jlazenby159997@direct.integrisok.com

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.

• Iowa Tribe of Oklahoma

  • Clinic/Center
  • Perkins, OK
  • NPI 1891943106
  Medicare reassignment Care Compare group
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  Care Compare affiliation
• Oklahoma Center for Orthopaedic & Multi-Specialty Surgery, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1063489458
  Care Compare affiliation

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1336779206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 TREVI CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731162604",
            "telephone_number": "580-695-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E CLARK BASS BLVD STE 302",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014269",
            "telephone_number": "918-426-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZENBY",
        "first_name": "JOHN",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MHS, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "3133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Lanham
• Nicole Laub, BS, BHRS
• Michelle Lynn Laurent, M.S. LPC UNDER SUPER
• Billie Deanna Lavarnway
• Karen A Lawrence, RN
• Kristie Ann Leak, RN
• Patricia Leak
• Gaela Dawn Leatherman, PT, DPT
• Jann Ledbetter, M. ED., LPC
• Cynthia Michele Ledford, LMSW; MSW U/S

• Surgical Physician Assistant in McAlester, OK
• Providers in McAlester, OK by specialty
• Surgical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.

Verify at the official NPI Registry.