Active NPI
Edward J Lazarus, MD
- Obstetrics & Gynecology Physician
- Memphis, TN
National Provider Identifier
1659337707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 40603
- Practice address
- 1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113 - Phone
- (901) 448-2300
- Fax
- (901) 448-6657
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 40603 | TN | Primary |
Addresses
Primary practice location
1910 Nonconnah Blvd
Suite 120
Memphis, TN 38132-2113
Mailing address
66 N Pauline St
Suite 206
Memphis, TN 38105-5105
Phone (901) 448-7642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3335604 | Medicaid | TN |
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 |
|---|---|---|---|
| 12302 | LA | MD | School Social Worker |
| 40603 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent City Physicians, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| Touro Infirmary | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1689722340
Obstetrics & Gynecology
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1659337707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 N PAULINE ST",
"address_2": "SUITE 206",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381055105",
"telephone_number": "901-448-7642",
"fax_number": "901-448-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 NONCONNAH BLVD",
"address_2": "SUITE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381322113",
"telephone_number": "901-448-2300",
"fax_number": "901-448-6657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARUS",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "40603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3335604",
"state": "TN"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.