SEAN WAYNE LAZARUS D.P.M. LLC (NPI# 1104236199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104236199 |
| Entity Type | Organization |
| Organization Name | SEAN WAYNE LAZARUS D.P.M. LLC |
| Practice Address |
764 Campelle Ave Unitg West Haven CT 06516-3786 |
| Mailing Address |
764 Campelle Ave Unit G West Haven CT 06516-3786 |
| Practice Telephone | 4752387400 |
| Practice Fax Number | 4752387400 |
| Mailing Telephone | 4752387400 |
| Mailing Fax Number | 4752387400 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2016-01-04 |
| Authorized Official Name | DR. SEAN WAYNE LAZARUS (DOCTOR) |
| Authorized Official Telephone | 2034530704 |
| Authorized Official Credential | D.P.M |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SEAN WAYNE LAZARUS DPM LLC | 920 Little Meadow Road, Guilford, CT 06437 |
| Street Address |
764 CAMPELLE AVE UNITG |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-3786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467783712 | Joseph Patrick Rogers | Podiatrist | 267 Elm St, West Haven, CT 06516-4641 | 2010-01-27 |
| 1619991981 | Sean Wayne Lazarus | Podiatrist | 764 Campbell Ave, Suite G, West Haven, CT 06516-3786 | 2006-07-27 |
| 1881693513 | Richard Barry Feldman | Podiatrist | 655 Saw Mill Rd, West Haven, CT 06516-3964 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686815 | Connecticut Podiatry Partners, Pllc | Podiatrist | 300 Church St Ste 203, Wallingford, CT 06492-2253 | 2020-03-31 |
| 1790293207 | New Canaan Podiatry LLC | Podiatrist | 107 Cherry St, New Canaan, CT 06840-5521 | 2018-01-18 |
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1497299408 | New England Foot Care LLC | Podiatrist | 351 Salmon Brook St, Granby, CT 06035-1804 | 2016-12-09 |
| 1588084362 | Stephen Lazaroff | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2014-04-21 |
| 1528493244 | Housatonic Valley Podiatric Center LLC | Podiatrist | 333 River Road, Shelton, CT 06484-5120 | 2013-09-12 |
| 1437494135 | Associated Podiatrists of Greenwich LLC | Podiatrist | 282 Railroad Avenue, Greenwich, CT 06830 | 2012-12-06 |
| 1689934739 | Advanced Footcare Center | Podiatrist | 189 Durham Rd, Guilford, CT 06437-2087 | 2012-05-23 |
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1285946426 | Manal Anz | Podiatrist | 333 River Rd, Shelton, CT 06484-4422 | 2010-07-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.