Active NPI
Matthew Ryan Lazar, MA
- Case Manager/Care Coordinator
- Tulsa, OK
National Provider Identifier
1407378060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3405 S 95TH East Ave
Tulsa, OK 74145 - Phone
- (540) 621-3469
- NPI assigned
- Jul 14, 2017
- Last updated
- Jul 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3405 S 95TH East Ave
Tulsa, OK 74145
Mailing address
3405 S 95TH East Ave
Tulsa, OK 74145-3525
Phone (540) 621-3469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1407378060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 S 95TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741453525",
"telephone_number": "15406213469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 S 95TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "74145",
"telephone_number": "540-621-3469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAR",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-14",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Abigail J Laymon, APRN-CNP
- John M Laymon, APRN
- Laura Olivia Layn, MSPS
- Nikita Michelle Layson, CRNA
- Breanna Lee Layton
- Lazarus Healthcare, LLC
- Emma Christine Lazdins
- LB Enterprises, LLC (Amada Senior Care Oklahoma)
- LD Taylor & Associates, Inc.
- LDS Family Services (LDS Family Services Oklahoma Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.