Individual provider Active NPI

Marina Lazbin, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Cleveland, OH
National Provider Identifier
1750395778
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
35.088100 Issued in OH
Practice address
17876 Saint Clair Ave
Cleveland, OH 44110
Phone
(216) 383-2222
Fax
(216) 298-0241
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 35088100 OH
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 35.088100 OH Primary

Addresses

Primary practice location

17876 Saint Clair Ave
Cleveland, OH 44110

Mailing address

17876 Saint Clair Ave
Cleveland, OH 44110-2602
Phone (216) 383-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20060927000526 OH Practitioner - Pediatric MedicinePractitioner - Hospice/Palliative Care 5799780672 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.088100OHMDHospice and Palliative Medicine (Family Medicine) Physician
35088100OHMDPediatric Hospice and Palliative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Western Reserve at University Hospitals, LLC Hospice and Palliative Medicine CurrentSince Apr 23, 2024 Accepting new patients

Locations

17876 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 383-2222

17876 Saint Clair Ave
Ste 102
Cleveland, OH 44110
Phone (216) 701-0736

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1750395778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17876 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441102602",
            "telephone_number": "216-383-2222",
            "fax_number": "216-298-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17876 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44110",
            "telephone_number": "216-383-2222",
            "fax_number": "216-298-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZBIN",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35088100",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35.088100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.