Active NPI
Marielle Bazile Lazard, M.D.
- Cardiovascular Disease Physician
- Orange City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME87805
- Practice address
- 938 Saxon Blvd
Suite 101-C
Orange City, FL 32763-8305 - Phone
- (386) 774-5485
- Fax
- (386) 775-0761
- NPI assigned
- Feb 15, 2007
- Last updated
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME87805 | FL | Primary |
| Nuclear Cardiology Physician | 207UN0901X | ME87805 | FL |
Addresses
Primary practice location
938 Saxon Blvd
Suite 101-C
Orange City, FL 32763-8305
Mailing address
695 N Clyde Morris Blvd
Daytona Beach, FL 32114-2321
Phone (386) 258-8722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88976 | Other | FL | BC/BS |
| 278018600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Tulane University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
3300 E Halifax Crossing Blvd
Deltona, FL 32725-2911
Phone (386) 425-6100
630 W Plymouth Ave
Deland, FL 32720-3260
Phone (386) 734-3654
655 N Clyde Morris Blvd
Suite C
Daytona Beach, FL 32114-2321
Phone (386) 258-8722
695 N Clyde Morris Blvd
Daytona Beach, FL 32114-2321
701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522
938 Saxon Blvd
Suite 101C
Orange City, FL 32763-8305
Phone (386) 774-5485
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Southwest Volusia Healthcare Corporation | Cardiovascular Disease | Current | Accepting new patients |
| Southwest Volusia Healthcare Corporation | Current | Accepting new patients | |
| Memorial Hospital-West Volusia Inc | Current | Accepting new patients | |
| Lewis & Klancke Cardiology PA | Cardiovascular Disease | Current | Accepting new patients |
| Memorial Hospital-West Volusia Inc | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Southwest Volusia Healthcare Corporation | Current | Accepting new patients | |
| Lewis & Klancke Cardiology PA | Cardiovascular Disease | Past | Accepting new patients |
| Jose J Rosales MD PA | Past | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
695 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 258-8722
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
1035 Town Center Dr
Orange City, FL 32763
Phone (386) 775-8229
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
938 Saxon Blvd
Ste 101C
Orange City, FL 32763
Phone (386) 774-5485
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
dba Daytona Heart Group
- Cardiovascular Disease Physician
- Daytona Beach, FL
- NPI 1669589263
-
dba AdventHealth DeLand
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Deland, FL
- NPI 1669639415
-
dba AdventHealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1346424165
Cardiovascular Disease
-
dba AdventHealth Outpatient Pharmacy Fish Memorial
- Community/Retail Pharmacy
- Orange City, FL
- NPI 1568254159
-
dba Adventhealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
-
- Family Medicine Physician
- Orange City, FL
- NPI 1639105778
-
dba Daytona Heart Group
- Cardiovascular Disease Physician
- Orange City, FL
- NPI 1558405639
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Halifax Health UF Health - Medical Center of Deltona
- General Acute Care Hospital
- Deltona, FL
- NPI 1003465097
-
dba AdventHealth DeLand
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
dba AdventHealth Fish Memorial
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
dba Adventhealth Medical Group
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1912040197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142321",
"telephone_number": "386-258-8722",
"fax_number": "386-258-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 SAXON BLVD",
"address_2": "SUITE 101-C",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638305",
"telephone_number": "386-774-5485",
"fax_number": "386-775-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARD",
"first_name": "MARIELLE",
"middle_name": "BAZILE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME87805",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "FL",
"license": "ME87805",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "88976",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278018600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.