Individual provider Active NPI

Shirley Lazaro, PA-C

  • Surgical Physician Assistant
  • Arlington, VA
National Provider Identifier
1629172283
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110001197 Issued in VA
Practice address
2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605
Phone
(703) 892-6500
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001197 VA
Surgical Physician Assistant 363AS0400X 0110001197 VA Primary

Addresses

Primary practice location

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605

Mailing address

2800 S Shirlington Rd Ste 1100
Arlington, VA 22206-3605
Phone (703) 892-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208002980 DC Practitioner - Physician Assistant 5698952794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 892-6500

2800 S Shirlington Rd
Suite 1000
Arlington, VA 22206-3614

2800 S Shirlington Rd
Suite 1100
Arlington, VA 22206-3605

3299 Woodburn Rd
Suite 480
Annandale, VA 22003-7333
Phone (703) 892-6500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC Physician Assistant CurrentSince Feb 1, 2023 Accepting new patients
Anderson Clinic LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3299 Woodburn Rd
Ste 480
Annandale, VA 22003
Phone (703) 876-0734

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2445 Army Navy Dr
Arlington, VA 22206

Interoperability endpoints

  • Direct secure messaging: slazaro@andersonclinic.emadirect.md

Organizations & group practices 2

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 2

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1629172283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063605",
            "telephone_number": "703-892-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SHIRLINGTON RD STE 1100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063605",
            "telephone_number": "703-892-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "SHIRLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001197",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110001197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.