Individual provider Active NPI

Lawrence G Lazar, DPM

  • Foot Surgery Podiatrist
  • Tampa, FL
National Provider Identifier
1578569596
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO3786 Issued in FL
Practice address
12085 W Hillsborough Ave
Tampa, FL 33635-9725
Phone
(813) 397-5300
Fax
(813) 738-9007
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO3786 FL Primary

Addresses

Primary practice location

12085 W Hillsborough Ave
Tampa, FL 33635-9725

Mailing address

1145 19TH St NW
Ste 409
Washington, DC 20036-3701
Phone (202) 223-0500

Other identifiers 1

IdentifierTypeStateIssuer
PO3786OtherFLMEDICAL LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200508001544 FL Practitioner - Podiatry 8820017007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timothy C Runyon DPM PAGroup PAC ID 4486568250, 8 clinicians

Practice addresses (Care Compare)

2595 Tampa Rd
Suite O
Palm Harbor, FL 34684-3131
Phone (727) 785-5611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue165
Removal or shaving of skin growth51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01232MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy C. Runyon, DPM, PA CurrentSince Dec 1, 2024 Accepting new patients
Timothy C. Runyon, D.P.M. P.a. Foot Surgery CurrentSince Dec 1, 2024 Accepting new patients
Medical Services Corp of Florida CurrentSince Nov 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
DRS. James R. Christina & Steven G. Chatlin, P.a. Foot Surgery Past Accepting new patients
Mid-Atlantic Podiatry Associates Foot Surgery Past Accepting new patients

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 483-9282

669A W Lumsden Rd
Brandon, FL 33511
Phone (813) 654-3354

2310 N Airport Rd
Fort Myers, FL 33907
Phone (239) 931-8401

8495 Normandy Blvd
Jacksonville, FL 32221
Phone (570) 352-3063

800 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-1550

2595 Tampa Rd
Ste O
Palm Harbor, FL 34684
Phone (727) 785-5611

1401 16th St N
St Petersburg, FL 33704
Phone (727) 894-0794

1000 24th St N
St Petersburg, FL 33713
Phone (727) 323-4711

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1578569596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "STE 409",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "202-223-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12085 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359725",
            "telephone_number": "813-397-5300",
            "fax_number": "813-738-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "LAWRENCE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PO3786",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.