Active NPI
Barbara Lazerus, CRNA
- Anesthesiology Physician
- Malvern, AR
National Provider Identifier
1558326140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C00449
- Practice address
- 1001 Schneider Dr
Malvern, AR 72104-4811 - Phone
- (501) 337-4911
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C00449 | AR | Primary |
Addresses
Primary practice location
1001 Schneider Dr
Malvern, AR 72104-4811
Mailing address
13291 Highway 67
Malvern, AR 72104-7431
Phone (501) 771-4370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116407701 | Medicaid | AR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C00449 | AR | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1558326140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13291 HIGHWAY 67",
"city": "MALVERN",
"state": "AR",
"postal_code": "721047431",
"telephone_number": "501-771-4370",
"fax_number": "501-327-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SCHNEIDER DR",
"city": "MALVERN",
"state": "AR",
"postal_code": "721044811",
"telephone_number": "501-337-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZERUS",
"first_name": "BARBARA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "C00449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116407701",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.