DR. MARK LAZAROVICH (NPI# 1083619431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083619431 |
| Entity Type | Individual |
| Full Name | DR. MARK LAZAROVICH |
| Credential | MD |
| Practice Address |
53 Timber Ln South Burlington VT 05403-5201 |
| Practice Telephone | 8028640294 |
| Practice Fax Number | 8028643779 |
| Mailing Telephone | 8028640294 |
| Mailing Fax Number | 8028643779 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | CIGNA | 0176890-002 | 01 |
| VT | MVP | 03V005 | 01 |
| VT | BLUE CROSS BLUE SHIELD VT | 18970 | 01 |
| NY | BCBS NORTHEAST NEW YORK | 92Q141 | 01 |
| NY | 02106825 | 05 | |
| VT | 0VN0712 | 05 |
| Street Address |
53 TIMBER LN |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356818 | Timber Lane Allergy & Asthma Associates, PC | Allergy & Immunology | 53 Timber Ln, South Burlington, VT 05403-5201 | 2005-06-14 |
| 1013912468 | Elizabeth F. Jaffe | Allergy & Immunology | 53 Timber Ln, South Burlington, VT 05403-5201 | 2005-06-14 |
| 1124023577 | Edward F. Kent Jr. | Allergy & Immunology | 53 Timber Ln, South Burlington, VT 05403-5201 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356818 | Timber Lane Allergy & Asthma Associates, PC | Allergy & Immunology | 53 Timber Ln, South Burlington, VT 05403-5201 | 2005-06-14 |
| 1013912468 | Elizabeth F. Jaffe | Allergy & Immunology | 53 Timber Ln, South Burlington, VT 05403-5201 | 2005-06-14 |
| 1124023577 | Edward F. Kent Jr. | Allergy & Immunology | 53 Timber Ln, South Burlington, VT 05403-5201 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720235831 | Clifford Kirk Osterland | Allergy & Immunology | 454 Taconic Rd., Manchester, VT 05254-1133 | 2008-08-20 |
| 1477598738 | Manindra N Ghosh | Allergy & Immunology | 194 North St Ste 7, Bennington, VT 05201-1874 | 2006-06-19 |
| 1184994162 | Southwestern Vermont Medical Center Inc. | Allergy & Immunology | 140 Hospital Dr, Bennington, VT 05201-5009 | 2012-01-06 |
| 1992964050 | Allergy & Asthma Specialists of Northern Vermont PC | Allergy & Immunology | 55 Main St, Ste 2, Essex Jct, VT 05452-6100 | 2008-06-04 |
| 1720267768 | Vermont Ent Associates, Ltd | Allergy & Immunology | 15 Fairview St, Brattleboro, VT 05301-6629 | 2007-10-26 |
| 1831220391 | William Newman, Md | Allergy & Immunology | 12 Crest Rd, Saint Albans, VT 05478-9701 | 2007-03-08 |
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.