Nicholas A Lazzaro (NPI# 1700076619, PAC ID# 1254499502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1700076619 |
| PAC ID by PECOS | 1254499502 |
| Professional Enrollment ID | I20100621000515 |
| Full Name | Nicholas A Lazzaro |
| Organization Legal Name | BOISE RADIOLOGY GROUP PLLC |
| Address |
895 N 6th St E Mountain Home ID 83647-2207 |
| Phone Number | 2083812094 |
| Gender | M |
| Medical School | INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9638153257 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| 130071 | ST LUKE'S NAMPA MEDICAL CENTER |
| 131323 | ST LUKE'S WOOD RIVER MEDICAL CENTER |
| 131311 | ST LUKE'S ELMORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 E Park Blvd, Boise, ID 83712-7791 | 2083812094 | BOISE RADIOLOGY GROUP PLLC |
| 190 E Bannock, Boise, ID 83712-6241 | 2083812094 | BOISE RADIOLOGY GROUP PLLC |
| 600 N Robbins Rd, Boise, ID 83702-4565 | 2084894940 | BOISE RADIOLOGY GROUP PLLC |
| 895 N 6th St E, Mountain Home, ID 83647-2207 | 2083812094 | BOISE RADIOLOGY GROUP PLLC |
| 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2085052017 | BOISE RADIOLOGY GROUP PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 62% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 89% |
| Organization Legal Name | BOISE RADIOLOGY GROUP PLLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven V Marx | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Michael T Fisher | Diagnostic Radiology | Boise Radiology Group Pllc | 190 E Bannock, Boise, ID 83712-6241 |
| Jeffrey M Pugsley | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Zachary J Beatty | Diagnostic Radiology | Boise Radiology Group Pllc | 190 E Bannock, Boise, ID 83712-6241 |
| Adam S Maxfield | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| James A Hill | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Amaya Basta | Diagnostic Radiology | Boise Radiology Group Pllc | 520 S Eagle Rd, Meridian, ID 83642-6308 |
| Daniel D Ririe | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Michael D Carroll | Diagnostic Radiology | Boise Radiology Group Pllc | 190 E Bannock, Boise, ID 83712-6241 |
| Tara B Anthes | Diagnostic Radiology | Boise Radiology Group Pllc | 520 S Eagle Rd, Meridian, ID 83642-6308 |
| Street Address |
895 N 6TH ST E |
| City | MOUNTAIN HOME |
| State | ID |
| Zip | 83647-2207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven V Marx | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Jeffrey M Pugsley | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Adam S Maxfield | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| James A Hill | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Daniel D Ririe | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Barbara A White | Diagnostic Radiology | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Brian E Granvall | Physician Assistant | Boise Radiology Group Pllc | 895 N 6th St E, Mountain Home, ID 83647-2207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie R Knapp | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Timothy M Ruth | Family Medicine | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Karen A Galvan | General Surgery | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Lily J Wittich | Family Medicine | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Joseph W Hoskin | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 840 N 4th, Mountain Home, ID 83647-2137 |
| Mary K Jenks | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Whitney A Roberts | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Dennis D Crossley | Family Medicine | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Michelle Pehrson | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Michael S Charme | Family Medicine | St Lukes Clinic-treasure Valley LLC | 465 Mckenna Dr, Mountain Home, ID 83647-2143 |
| Find all physicians in zip 83647 | |||
| City | MOUNTAIN HOME |
| Zip Code | 83647 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MOUNTAIN HOME + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Nicholas A Lazzaro.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.