NPIMap

Individual provider Active NPI

Laryenth D Lancaster, MD

  • Cardiovascular Disease Physician
  • Tucson, AZ
National Provider Identifier
1790763480
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17217 Issued in AZ
Practice address
1714 W Anklam Rd Ste 104
Tucson, AZ 85745-2690
Phone
(520) 838-3540
Fax
(520) 325-3526
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 17217 AZ Primary

Addresses

Primary practice location

1714 W Anklam Rd Ste 104
Tucson, AZ 85745-2690

Mailing address

3709 N Campbell Ave Ste 201
Tucson, AZ 85719-1563
Phone (520) 838-2138

Other practice location 1

445 N Silverbell Rd
Suite 200
Tucson, AZ 85745-2685
Phone (520) 624-8935 ext. 1106

Other practice location 2

445 N Silverbell Rd
Suite 200
Tucson, AZ 85745-2685
Phone (520) 624-8935 ext. 1106

Other identifiers 1

IdentifierTypeStateIssuer
266652MedicaidAZ

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Heart Physicians, PC Cardiovascular Disease Past Accepting new patients
Arizona Diagnostic Pathology Associates PLLC PastSince Oct 27, 2024 Accepting new patients
Carondelet Health Network Past Accepting new patients

Organizations & group practices 3

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790763480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-838-2138",
            "fax_number": "520-838-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 W ANKLAM RD STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452690",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 N Silverbell Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452685",
            "country_code": "US",
            "telephone_number": "520-624-8935 x1106",
            "fax_number": "520-624-2798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 N Silverbell Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452685",
            "country_code": "US",
            "telephone_number": "520-624-8935 x1106",
            "fax_number": "520-624-2798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "LARYENTH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "17217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266652",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.