Active NPI
Frank D Lazzerini MD LLC
- Family Medicine Physician
- Massillon, OH
National Provider Identifier
1508117219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35092741
- Legal business name
- FRANK D LAZZERINI MD LLC
- Doing business as
- Premiere Family Practice
- Practice address
- 7452 Fulton Dr NW
Massillon, OH 44646-9393 - Phone
- (330) 830-6211
- Fax
- (330) 830-6212
- NPI assigned
- Sep 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank D Lazzerini, MD
- Title
- Owner/Doctor
- Phone
- (330) 603-3893
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35092741 | OH | Primary |
Addresses
Primary practice location
7452 Fulton Dr NW
Massillon, OH 44646-9393
Mailing address
7452 Fulton Dr NW
Massillon, OH 44646-9393
Phone (330) 830-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2983393 | Medicaid | OH |
Other names 1
- Premiere Family Practice
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lisbon, OH
- NPI 1386831253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360108800000",
"number": "1508117219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7452 FULTON DR NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446469393",
"telephone_number": "330-830-6211",
"fax_number": "330-830-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7452 FULTON DR NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446469393",
"telephone_number": "330-830-6211",
"fax_number": "330-830-6212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANK D LAZZERINI MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-21",
"last_updated": "2013-02-06",
"status": "A",
"authorized_official_last_name": "LAZZERINI",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "330-603-3893",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35092741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2983393",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Premiere Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.