Frank D Lazzerini, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35092741 Issued in OH

Practice address

7880 Lincole PL
Community Action Agency
Lisbon, OH 44432-8322

Phone

(330) 424-5686

Fax

(330) 424-4012

NPI assigned

Sep 25, 2007

Last updated

Jun 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frank D Lazzerini MD LLC

  dba Premiere Family Practice

  • Family Medicine Physician
  • Massillon, OH
  • NPI 1508117219
  NPD (past) Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1386831253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "address_2": "COMMUNITY ACTION AGENCY",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-5686",
            "fax_number": "330-424-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "address_2": "COMMUNITY ACTION AGENCY",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-5686",
            "fax_number": "330-424-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZERINI",
        "first_name": "FRANK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35092741",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-092741",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2983393",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholaus Kuzemchak, PHARMD
• Cindy Kyser
• Theresa Kyser, QMHS
• Lane Drug Co (Rite Aid Pharmacy 02418)
• Susan J Laughlin, RN
• Brianna Lee
• Shae R Lewis
• Shawna Lewis, CDCA
• Arthur Eugene Lightner Jr., CDCA
• Kate Linger

• Family Medicine Physician in Lisbon, OH
• Providers in Lisbon, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.