Active NPI
Eduardo Javier Bazan Lavanda, MD
- Sleep Medicine (Internal Medicine) Physician
- Athens, AL
National Provider Identifier
1669791364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 33358
- Practice address
- 700 W Market St
Athens Limestone Hospital
Athens, AL 35611-2457 - Phone
- (256) 262-2112
- NPI assigned
- May 20, 2010
- Last updated
- Apr 22, 2015
- 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 |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 33358 | AL | Primary |
Addresses
Primary practice location
700 W Market St
Athens Limestone Hospital
Athens, AL 35611-2457
Mailing address
PO Box 999
Athens, AL 35612-0999
Phone (256) 262-2112
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1669791364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 999",
"city": "ATHENS",
"state": "AL",
"postal_code": "356120999",
"telephone_number": "256-262-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W MARKET ST",
"address_2": "ATHENS LIMESTONE HOSPITAL",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112457",
"telephone_number": "256-262-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZAN LAVANDA",
"first_name": "EDUARDO",
"middle_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-20",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "AL",
"license": "33358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, AL
- Charmine Kay Arbolente Bartlett, PT, DPT, GCS
- Loren Pierce Batchelor, M.S., CCC-SLP
- Connie Y Bates, MS
- Denise Sherie Bates, ATC
- Evangeleine Helene Bates, NURSE PRACTITIONER
- BCL Foundation, Inc (Valley Connections AL)
- Robert Brad Beasley, DMD
- William Edward Beasley Jr., MD
- Bechert, LLC Dba Lang Chiropractic Center
- Lauren Taylor Beggs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.