STEPHEN LAZAROFF (NPI# 1588084362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588084362 |
| Entity Type | Individual |
| Full Name | STEPHEN LAZAROFF |
| Credential | DPM |
| Practice Address |
714 Chase Pkwy Ste 4 Waterbury CT 06708-3012 |
| Mailing Address |
30 Mowry St North Haven CT 06473-4337 |
| Practice Telephone | 2037550489 |
| Practice Fax Number | 2037557523 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 959 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
959 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
959 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 222Z00000X | Orthotist | 959 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225000000X | Orthotic Fitter | 959 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 87 S Main St Ste 8, Newtown, CT 064702315 | 2032706724 | 2032706728 |
| Street Address |
714 CHASE PKWY STE 4 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655782 | Performance Foot & Ankle Specialists, LLC | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2018-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| 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 |
|---|---|---|---|---|
| 1023009768 | Charles T Arena | Podiatrist | 1389 West Main Street, Suite 222, Waterbury, CT 06708 | 2005-11-02 |
| 1598758948 | Joel Scott Segalman | Podiatrist | 714 Chase Pkwy, Suite 4, Waterbury, CT 06708-3012 | 2005-08-31 |
| 1538655782 | Performance Foot & Ankle Specialists, LLC | Podiatrist | 714 Chase Pkwy Ste 4, Waterbury, CT 06708-3012 | 2018-07-10 |
| 1891970331 | Podiatry Associates of Waterbury PC | Podiatrist | 80 Phoenix Ave, Suite 204, Waterbury, CT 06702-1418 | 2008-01-03 |
| 1447430467 | Waterbury Podiatry Consultants | Podiatrist | 171 Grandview Ave, Suite 104, Waterbury, CT 06708-2517 | 2007-11-07 |
| 1861555245 | Tetiana Kihiczak Bazarko | Podiatrist | 389 Highland Ave, Waterbury, CT 06708-3444 | 2006-12-18 |
| 1336156124 | Sherwin M Tucker | Podiatrist | 1389 W Main St, Suite 222, Waterbury, CT 06708-3104 | 2006-08-02 |
| 1164471561 | Marilyn M Vinokur | Podiatrist | 1211 W Main St, Waterbury, CT 06708-3106 | 2006-05-10 |
| 1487603346 | Bruce M Vinokur | Podiatrist | 1211 W Main St, Waterbury, CT 06708-3106 | 2006-05-09 |
| 1538149463 | Marc Richard Bernbach | Podiatrist | 171 Grandview Ave, Suite 104, Waterbury, CT 06708-2517 | 2006-01-18 |
| Find all providers in WATERBURY | ||||
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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.