Individual provider Active NPI

Stephen M. Lazarus, M.D.

  • Specialist
  • Knoxville, TN
National Provider Identifier
1982736781
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4581699 Issued in TN
Practice address
801 N Weisgarber Rd
Suite 500
Knoxville, TN 37909-2706
Phone
(865) 588-1662
Fax
(865) 588-2570
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4581699 TN Primary

Addresses

Primary practice location

801 N Weisgarber Rd
Suite 500
Knoxville, TN 37909-2706

Mailing address

801 N Weisgarber Rd
Suite 500
Knoxville, TN 37909-2706
Phone (865) 588-1662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160617000720 TN Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 0648231043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4581699TNMDSpecialist
12642TNMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982736781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N WEISGARBER RD",
            "address_2": "SUITE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092706",
            "telephone_number": "865-588-1662",
            "fax_number": "865-588-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WEISGARBER RD",
            "address_2": "SUITE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092706",
            "telephone_number": "865-588-1662",
            "fax_number": "865-588-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZARUS",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "4581699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.