NICHOLAS A. LAZZARO (NPI# 1700076619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700076619 |
| Entity Type | Individual |
| Full Name | NICHOLAS A. LAZZARO |
| Credential | M.D. |
| Practice Address |
190 E Bannock Boise ID 83712 |
| Mailing Address |
115 W Main Street Suite 202 Boise ID 83702 |
| Practice Telephone | 2083812094 |
| Practice Fax Number | 2083811791 |
| Mailing Telephone | 2084339466 |
| Mailing Fax Number | 2084331149 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2010-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M-11001 | ID | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301082251 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225428907 | Nicholas Lazzaro | Pharmacy Technician | 5750 Sunrise Hwy, Sayville, NY 11782-1010 | 2015-02-02 |
| Street Address |
190 E BANNOCK |
| City | BOISE |
| State | ID |
| Zip Code | 83712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124002191 | Don Antonio Bell | Radiology | 190 E Bannock, Boise, ID 83712 | 2005-12-02 |
| 1760682066 | Paul David Sonntag | Radiology | 190 E Bannock, Boise, ID 83712 | 2007-07-24 |
| 1316157332 | Einav Shochat | Radiology | 190 E Bannock, Boise, ID 83712 | 2007-05-22 |
| 1326156282 | James A Hill | Radiology | 190 E Bannock, Boise, ID 83712 | 2006-08-29 |
| 1518906312 | John Perl II | Radiology | 190 E Bannock, Boise, ID 83712 | 2006-06-06 |
| 1508816471 | Cody J. Boyce | Radiology | 190 E Bannock, Boise, ID 83712 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376920553 | Creighton Lewis | Radiology | 500 West Fort St. #111r, Boise Vamc, Boise, ID 83702 | 2015-04-27 |
| 1295926061 | Michael Modica | Radiology | 877 W Main St, Suite 603, Boise, ID 83702-5883 | 2007-08-07 |
| 1346457298 | John Charles Kirkham | Radiology | 115 W Main St Ste 202, Boise, ID 83702-7303 | 2007-05-17 |
| 1811046386 | Frank J Daniels | Radiology | 5122 S Surprise Way Apt 202, Boise, ID 83716-9050 | 2007-01-10 |
| 1821039025 | Michael J Ryan | Radiology | 232 S Whisperwood Way, Boise, ID 83709-4900 | 2006-06-09 |
| 1679513303 | Intermountain Medical Imaging LLC | Radiology | 161 E Mallard Dr, Suite 120, Boise, ID 83706-5015 | 2006-06-08 |
| 1669423679 | Intermountain Medical Imaging LLC | Radiology | 927 W Myrtle St, Boise, ID 83702-7061 | 2006-05-15 |
| 1174589543 | Laura M Wike | Radiology | 2517 N Cisco Ln, Boise, ID 83702-5502 | 2006-04-25 |
| 1922077635 | Ryan Slaughter | Radiology | 907 Harrison Blvd, Boise, ID 83702-4052 | 2006-03-15 |
| 1336554740 | Geoffry De Gennaro Jr. | Radiology | 190 E Bannock St, Boise, ID 83712-6241 | 2014-06-24 |
| Find all providers in BOISE | ||||
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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.