NPIMap

Individual provider Active NPI

Angel Lazo III, MD

  • Internal Medicine Physician
  • Orange Park, FL
National Provider Identifier
1518329754
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.136127 Issued in OH
Practice address
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone
(904) 639-2018
NPI assigned
Mar 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35.136127 OH Primary

Addresses

Primary practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Mailing address

5700 Darrow Rd Ste 106
Hudson, OH 44236-5026
Phone (732) 309-4844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190508001877 OH Practitioner - Internal Medicine 8921340167 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chagrin Valley Medical Associates LLCGroup PAC ID 5991150740, 4 clinicians

Practice addresses (Care Compare)

29 N Adams St
Akron, OH 44304-1641
Phone (732) 309-4844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.136127OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitalist, LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Southwest General Medical Group Inc Internal Medicine Current Accepting new patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Aug 12, 2019 Accepting new patients
Southwest General Medical Group, Inc. CurrentSince Dec 23, 2022 Accepting new patients
Southwest General Medical Group Inc CurrentSince Dec 23, 2022 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Hni Medical Services of Ohio, LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Chagrin Valley Medical Associates LLC Internal Medicine CurrentSince Aug 28, 2023 Accepting new patients

Locations

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

5700 Darrow Rd
Ste 106
Hudson, OH 44236
Phone (330) 576-4295

1290 Fairchild Ave
Kent, OH 44240
Phone (330) 678-4912

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: alazo33768@summahealth-direct.org

Organizations & group practices 9

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 5

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": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1518329754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD STE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365026",
            "telephone_number": "732-309-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735148",
            "telephone_number": "904-639-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZO",
        "first_name": "ANGEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-27",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.136127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.