BONNIE A. LAZOR (NPI# 1548214059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548214059 |
| Entity Type | Individual |
| Full Name | BONNIE A. LAZOR |
| Other Name | BONNIE LAZOR-MCDANIEL |
| Credential | M.D. |
| Practice Address |
1110 Oakwood Ave Oakwood OH 45419 |
| Mailing Address |
1110 Oakwood Ave Oakwood OH 45419-2911 |
| Practice Telephone | 4192061249 |
| Practice Fax Number | 9375670670 |
| Mailing Telephone | 4192061249 |
| Mailing Fax Number | 9375670670 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
38890 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64089535 | 05 | |
| RAILROAD MEDICARE | P00343016 | 01 | |
| HUMANA | 743176351A | 01 | |
| ANTHEM BCBS | 000000479105 | 01 | |
| PASSPORT | 50011328 | 01 | |
| PASSPORT ADVANTAGE | 2746336000 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Pennyroyal Way, Louisville, KY 402233349 | 5023761957 | 5022451322 |
| 7792 Misty Shore Dr, West Chester, OH 450699645 | 4192061249 | 4198681503 |
| Street Address |
1110 OAKWOOD AVE |
| City | OAKWOOD |
| State | OH |
| Zip Code | 45419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384505 | Susan Elaine Berner | Family Medicine | 1110 Oakwood Ave, Oakwood, OH 45419-2911 | 2005-11-28 |
| 1598945230 | Comprehensive Geriatric Care, LLC | Assisted Living Facility | 1110 Oakwood Ave, Oakwood, OH 45419-2911 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962812883 | Velma Barber | Social Worker | 1032 Hampshire Rd, Dayton, OH 45419 | 2014-04-30 |
| 1467894790 | James F. Sheridan | Neurological Surgery | 235 Park Rd, Dayton, OH 45419 | 2013-07-29 |
| 1437365939 | Stacy Marie Purvis | Home Health Aide | 1228 Hale Avenue, Kettering, OH 45419 | 2007-05-14 |
| 1124249727 | Emily Kay Werlein | Counselor | 2600 Far Hills Ave., Suite 304, Dayton, OH 45419 | 2007-05-01 |
| 1568558021 | Dayton Va Medical Center | General Acute Care Hospital | 1730 Ridgeway Rd, Dayton, OH 45419 | 2006-10-04 |
| 1942259742 | David F Vanderburgh | Radiology | 1908 Coolidge Drive, Dayton, OH 45419 | 2006-05-09 |
| 1578552287 | Michael Ian Feldman | Dermatology | 30 Ashridge Rd., Dayton, OH 45419 | 2005-10-14 |
| 1962850222 | Kevin Schmidt Tanager | Pathology | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45419 | 2016-05-27 |
| 1366558645 | Susan K Kahle | Psychologist | 2600 Far Hills Ave, Suite 321, Oakwood, OH 45419 | 2006-08-21 |
| 1811126956 | Bassam S Nakfour | Obstetrics & Gynecology | 809 Blossom Heath Rd, Dayton, OH 45419-1102 | 2009-07-10 |
| Find all providers in zip 45419 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298119 | Np Insight | Internal Medicine | 4996 Pigeon Run Rd Sw, Navarre, OH 44662-8123 | 2020-06-01 |
| 1164082764 | Phoenix Help LLC | Internal Medicine | 7215 Winding Way, Cincinnati, OH 45236-3340 | 2019-06-17 |
| 1790343846 | Geriatric Care Providers Inc | Internal Medicine | 2605 Greenbrier Ct, Beavercreek, OH 45431-8564 | 2019-06-04 |
| 1538698568 | David John Donofrio | Internal Medicine | 6427 Stonecrest Dr, Brookpark, OH 44142-3767 | 2017-06-04 |
| 1346690757 | Detroit 74th Medical Clinic Inc | Internal Medicine | 4805 Lorain Ave, Cleveland, OH 44102-3351 | 2016-06-16 |
| 1245610179 | Sarah Hyun Hong Min | Internal Medicine | 2355 Norwood Ave Ste 1, Cincinnati, OH 45212-2750 | 2015-06-05 |
| 1326434127 | Hiba Khan | Internal Medicine | 1950 E 89th Street, Cleveland, OH 44195-1003 | 2015-04-09 |
| 1184927287 | Range Health Care Services LLC | Internal Medicine | 4875 Union Rd, Franklin, OH 45005-5127 | 2010-12-10 |
| 1366622623 | Peter Dillard Md Inc | Internal Medicine | 3237 Ormond Rd, Cleveland Heights, OH 44118-3415 | 2007-11-05 |
| 1427261692 | Preeti Betkerur | Internal Medicine | 75th Arch St, Suite G 2, Akron, OH 44304 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
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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.