Mercedes Lazaro Zano, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18797 Issued in OK

Practice address

9001S 101St East Ave 230
Tulsa, OK 74133-5797

Phone

(918) 392-5411

Fax

(918) 392-5416

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercedes Lazaro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Broken Arrow Medical Group LLC

  • General Practice Physician
  • Tulsa, OK
  • NPI 1386676153

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1366496176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001S 101ST EAST AVE 230",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335797",
            "telephone_number": "918-392-5411",
            "fax_number": "918-392-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001S 101ST EAST AVE 230",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335797",
            "telephone_number": "918-392-5411",
            "fax_number": "918-392-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANO",
        "first_name": "MERCEDES",
        "middle_name": "LAZARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100021490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "LAZARO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Zamarron
• Kimberly Cassendre Zamor, M.D.
• Ellen Zanetakis, M.D.
• Michael W Zanetakis
• Sharon Zang, PH.D.
• Angela Zanotti, P.A.C.
• Terry L Zanovich, M.D.
• Cristian Andres Zapata Rincon
• Carolina Zapata, APRN
• Victor M Zapata

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.