Samara D. Lazernick, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

8229754-1205 Issued in UT

Practice address

196 E. 2000 N.
Suite 104
Tooele, UT 84074

Phone

(435) 843-2576

NPI assigned

Jun 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Eastern Virginia Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tooele Clinic CorpGroup PAC ID 6800700873, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain West Medical Center Hospital, Tooele, UT, CCN 460014

Merit-based Incentive Payment System (MIPS)

Final score

90.71 of 100Reported as group

Quality

91.38

Promoting interoperability

100

Improvement activities

40

Cost

77.67

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slazerni@yourcarecommunity.org
• Direct secure messaging: samara.lazernick.1@1562.direct.athenahealth.com

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.

• Tooele Clinic Corp

  • Family Medicine Physician
  • Tooele, UT
  • NPI 1073512364

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tooele Hospital Corporation

  • General Acute Care Hospital
  • Tooele, UT
  • NPI 1124090659
  Care Compare affiliation

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1659532307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 E. 2000 N.",
            "address_2": "SUITE 104",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "435-843-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 E. 2000 N.",
            "address_2": "SUITE 104",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "435-843-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZERNICK",
        "first_name": "SAMARA",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "8229754-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soana Latu
• Kristi Lynn Lawrence, APRN FNP-C, PMHNP-BC
• Jennifer Clark Lawson, CRNA
• Shannon D Lawson, DDS
• Alan M. Layton, RPH
• Brianna Nguyen Le
• Lolo Leaaetoa
• Kyle Jeffery Leato, PTA
• Bryanna J Lee, DEM
• Zachariah Lee, CSW

• Obstetrics & Gynecology Physician in Tooele, UT
• Providers in Tooele, UT by specialty
• Obstetrics & Gynecology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.