Organization Active NPI

Lawrence C Hasara MD PLLC

  • Interventional Cardiology Physician
  • Bradenton, FL
National Provider Identifier
1487619847
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
LAWRENCE C HASARA MD PLLC
Practice address
2225 59TH Street
Suite D
Bradenton, FL 34209-7017
Phone
(941) 761-8955
Fax
(941) 761-8975
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Dr. Lawrence C. Hasara, M.D.NPI 1124012455
Title
Owner
Phone
(941) 761-8955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

2225 59TH Street
Suite D
Bradenton, FL 34209-7017

Mailing address

2225 59TH Street
Suite D
Bradenton, FL 34209-7017
Phone (941) 761-8955

Other identifiers 1

IdentifierTypeStateIssuer
DC0088OtherFLMCR RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823001563 FL Part B Supplier - Clinic/Group Practice 3870567035 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1027770Lawrence C Hasara MD PLLC2225 59TH St W Ste D, Bradenton, FL 34209Certificate of waiverJul 8, 2026

National Provider Directory

National Provider Directory

Locations

2225 59th St W
Ste D
Bradenton, FL 34209
Phone (941) 761-8955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1487619847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 59TH STREET",
            "address_2": "SUITE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097017",
            "telephone_number": "941-761-8955",
            "fax_number": "941-761-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 59TH STREET",
            "address_2": "SUITE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097017",
            "telephone_number": "941-761-8955",
            "fax_number": "941-761-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE C HASARA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "HASARA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-761-8955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RR",
            "identifier": "DC0088",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.