DR. RANDE HARRIS LAZAR (NPI# 1841378403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841378403 |
| Entity Type | Individual |
| Full Name | DR. RANDE HARRIS LAZAR |
| Other Name | RANDE LAZAR |
| Credential | MD |
| Practice Address |
791 Estate Place Memphis TN 38120 |
| Practice Telephone | 9018214300 |
| Practice Fax Number | 9018214373 |
| Mailing Telephone | 9018214300 |
| Mailing Fax Number | 9018214373 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 16275 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VESTICA | 3014587 | 01 | |
| CHAMPUS | 62-0842872 | 01 | |
| TAX ID | 62-0842872 | 01 | |
| TN | BCBS | 0063113 | 01 |
| TLC | 530 | 01 | |
| TN | 3014587 | 05 |
| Street Address |
791 ESTATE PLACE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457368771 | Scott Eric Strome | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2006-08-01 |
| 1457394611 | Mark P Clemons | Otolaryngology | 6616 Kirby Center Cove, Memphis, TN 38115 | 2006-06-14 |
| 1215932397 | Christopher James Hall | Otolaryngology | 5625 Poplar Ave, Memphis, TN 38119-3816 | 2005-06-16 |
| 1265852305 | Charissa N Kahue | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2014-04-16 |
| 1760800742 | Hani Rayess | Otolaryngology | 7675 Wolf River Cir Ste 202, Memphis, TN 38138 | 2014-04-07 |
| 1184061509 | Shete Ear Nose & Throat Clinic, Pllc | Otolaryngology | 5100 Sanderlin Ave, Suite 1200, Memphis, TN 38117-4387 | 2013-05-24 |
| 1669725297 | Family Ear Nose & Throat Care of The Mid-south, Pllc | Otolaryngology | 6616 Kirby Center Cv, Memphis, TN 38115-4313 | 2012-10-19 |
| 1558628107 | Sandra Stinnett | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104 | 2012-04-20 |
| 1366709164 | Robert James Yawn | Otolaryngology | 1325 Eastmoreland Ave Ste 260, Memphis, TN 38104-7549 | 2012-04-18 |
| 1649568395 | Sanjeet V Rangarajan | Otolaryngology | 1068 Cresthaven Rd Ste 250, Memphis, TN 38119-0809 | 2011-07-15 |
| Find all providers in MEMPHIS | ||||
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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.