DR. ANDREA MARIE LAZARO (NPI# 1336132075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336132075 |
| Entity Type | Individual |
| Full Name | DR. ANDREA MARIE LAZARO |
| Other Name | DR. ANDREA MARIE PHILLIPS |
| Credential | MD |
| Practice Address |
2712 Middleburg Dr Suite 101 Midlands Pediatrics Columbia SC 29204 |
| Mailing Address |
2712 Middleburg Dr Suite 101 Columbia SC 29204 |
| Practice Telephone | 8032544257 |
| Practice Fax Number | 8032527334 |
| Mailing Telephone | 8032544257 |
| Mailing Fax Number | 8032527334 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2011-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16820 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 168204 | 05 |
| Street Address |
2712 MIDDLEBURG DR SUITE 101 MIDLANDS PEDIATRICS |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801434402 | Megan Colleen Brogan | Nurse Practitioner | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2019-12-13 |
| 1134787138 | Jaclyn Turner Sload | Counselor | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2019-06-04 |
| 1932649696 | Midlands Center for Addiction Treatment | Clinic/Center | 2712 Middleburg Dr, Suite 206, Columbia, SC 29204-2415 | 2017-02-28 |
| 1891247730 | Brittany Dorn | Social Worker | 2712 Middleburg Dr, Suite 206, Columbia, SC 29204-2415 | 2016-10-26 |
| 1457725558 | Mindful Clinic | Counselor | 2712 Middleburg Dr, Suite 104, Columbia, SC 29204-2415 | 2015-11-30 |
| 1033580766 | Eric Wayne Powell | Social Worker | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2015-10-07 |
| 1073994547 | Transcendence, Inc | Counselor | 2712 Middleburg Dr, 206, Columbia, SC 29204-2415 | 2015-06-10 |
| 1962896514 | Caryn Bond | Counselor | 2712 Middleburg Dr, Suite 104, Columbia, SC 29204-2415 | 2015-03-21 |
| 1952727158 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 2712 Middleburg Dr, Ste. 101, Columbia, SC 29204-2415 | 2014-03-12 |
| 1366865743 | Kotina Tarheshe Hutto | Counselor | 2712 Middleburg Dr, Suite 207-b, Columbia, SC 29204-2415 | 2014-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1427695824 | Naseem Khan | Pediatrics | 10851 Clarksville Pike, Columbia, MD 21044-1338 | 2019-12-04 |
| 1164089124 | Mercy Clinic Illinois, LLC | Pediatrics | 1019 Valmeyer Rd, Columbia, IL 62236-4123 | 2019-05-24 |
| 1629568480 | Heather Kay Lynn | Pediatrics | Pediatric Outpatient Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-16 |
| 1174013932 | Dalton Mark Renick | Pediatrics | Pediattric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2018-05-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1316350226 | Duncan Lee Norton | Pediatrics | 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 | 2014-06-09 |
| 1225440910 | Michael Mitchell | Pediatrics | 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 | 2014-05-29 |
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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.