Active NPI
Robert Lazar
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
National Provider Identifier
1578510293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD23934
- Practice address
- 3495 Hacks Cross Rd
Memphis, TN 38125-8803 - Phone
- (901) 526-7444
- Fax
- (901) 526-0791
- NPI assigned
- May 28, 2006
- Last updated
- Feb 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 025276 | CT | |
| Specialist | 174400000X | R-4416 | AR | |
| Specialist | 174400000X | MD23934 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD23934 | TN | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 025276 | CT | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R-4416 | AR |
Addresses
Primary practice location
3495 Hacks Cross Rd
Memphis, TN 38125-8803
Mailing address
521 West Dr
Munford, TN 38058-6617
Phone (901) 526-7444
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-4416 | AR | MD | Anatomic Pathology & Clinical Pathology Physician |
| 025276 | CT | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD23934 | TN | MD | Anatomic Pathology & Clinical Pathology Physician |
| 23934 | MS | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1578510293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 WEST DR",
"city": "MUNFORD",
"state": "TN",
"postal_code": "380586617",
"telephone_number": "901-526-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 HACKS CROSS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258803",
"telephone_number": "901-526-7444",
"fax_number": "901-526-0791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAR",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "025276",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "R-4416",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD23934",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "MD23934",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CT",
"license": "025276",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AR",
"license": "R-4416",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.