Chagrin Valley Medical Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHAGRIN VALLEY MEDICAL ASSOCIATES LLC

Practice address

29 N Adams St
Akron, OH 44304-1641

Phone

(732) 309-4844

NPI assigned

Aug 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Angel Amado Lazo, MDNPI 1518329754

Title

Managing Employee

Phone

(732) 309-4844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angel Lazo III, MD

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1518329754

  OH

  Medicare reassignment Care Compare group NPD Authorized official
• Jessica M Jenkins, CNP, MSN

  • Family Nurse Practitioner
  • Twinsburg, OH
  • NPI 1891132494
  Medicare reassignment Care Compare group NPD
• Devin Lee Nagy, M.D.

  • Internal Medicine Physician
  • Fairlawn, OH
  • NPI 1790968543
  Medicare reassignment Care Compare group NPD
• Karen Marie Dillard, PA-C

  • Physician Assistant
  • Fairlawn, OH
  • NPI 1063751386
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1841972676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PEPPERWOOD LN",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441244701",
            "telephone_number": "732-309-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N ADAMS ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041641",
            "telephone_number": "732-309-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAGRIN VALLEY MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "LAZO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "AMADO",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "732-309-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haneet S Chadha, DO
• Lindsey Chafe, DNP, CRNA
• Blake Richard Chaffee, DO IN MAY 2020
• Roger B Chaffee, MD
• Rebecca Chaffins, LSW
• Farah Chaikhouni, MD
• Rumitha Chakilam
• Kathy Chamberlain, L.I.S.W.
• Tameka Tarelle Chambers, PROVIDER
• Molly Chamier

• Internal Medicine Physician in Akron, OH
• Providers in Akron, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.