Individual provider Active NPI

Edward C Lazo, M.D.

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1497957195
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 69494 Issued in FL
Practice address
321 SE 29TH PL
Ste 200
Ocala, FL 34471-0488
Phone
(352) 690-6813
Fax
(352) 690-6859
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 69494 FL Primary

Addresses

Primary practice location

321 SE 29TH PL
Ste 200
Ocala, FL 34471-0488

Mailing address

321 SE 29TH PL
Ste 200
Ocala, FL 34471-0488
Phone (352) 690-6813

Other identifiers 1

IdentifierTypeStateIssuer
27966OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000486 FL Practitioner - Internal Medicine 4284732249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

321 SE 29TH PL
Suite 200
Ocala, FL 34471-0489
Phone (352) 690-6813

3845 SE Lake Weir Ave
Cora Physical Therapy East Ocala
Ocala, FL 34480-9153
Phone (352) 693-3378

Hospital & facility affiliations

  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lazo Medical Center Inc Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients

Locations

321 SE 29th Pl
Ste 200
Ocala, FL 34471
Phone (352) 629-3711

321 SE 29th Pl
Ste 101
Ocala, FL 34471
Phone (352) 401-7552

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: edward.lazo@lmci.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CACBCA/Endpoint/CACBCA

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1497957195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SE 29TH PL",
            "address_2": "STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710488",
            "telephone_number": "352-690-6813",
            "fax_number": "352-690-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SE 29TH PL",
            "address_2": "STE 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710488",
            "telephone_number": "352-690-6813",
            "fax_number": "352-690-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZO",
        "first_name": "EDWARD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 69494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27966",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.