Michael Gregory Lazear, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

333476 Issued in OH

Practice address

301 Greene St
Marietta, OH 45750-3134

Phone

(740) 376-0769

NPI assigned

Apr 5, 2021

Sex

Male

Sole proprietor

Yes

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.

• Rite Aid of Ohio Inc

  • Community/Retail Pharmacy
  • Marietta, OH
  • NPI 1235248568
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2021.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1821677014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MCGILL RD",
            "city": "VINCENT",
            "state": "OH",
            "postal_code": "457845145",
            "telephone_number": "740-525-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GREENE ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503134",
            "telephone_number": "740-376-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZEAR",
        "first_name": "MICHAEL",
        "middle_name": "GREGORY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "333476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaylynn Nicole Laverick
• Nathan Law, DO
• David E Lawrence
• Derek Ryan Layton
• Ryan Wesley Layton, D.D.S.
• Cathy J. Lee, N.P.
• Heidi M Lee, LPN
• Janet Lee, REGISTERED NURSE
• Jeffery S. Lee, DDS MS
• John Chong Lee, MD

• All providers in Marietta, OH
• Emergency Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.