MAXWELL LAZINGER (NPI# 1306833405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306833405 |
| Entity Type | Individual |
| Full Name | MAXWELL LAZINGER |
| Credential | M.D. |
| Practice Address |
1316 Old Highway 63 S Suite 102 Columbia MO 65201-6092 |
| Mailing Address |
Po Box 3242 Indianapolis IN 46206-3242 |
| Practice Telephone | 5734434591 |
| Practice Fax Number | 5738741369 |
| Mailing Telephone | 3177056708 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2017-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2002007687 | MO | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
2002007687 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205811201 | 05 |
| Street Address |
1316 OLD HIGHWAY 63 S SUITE 102 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959644 | James R. L. Garb | Pediatrics | 1316 Old Highway 63 S, Suite 200, Columbia, MO 65201-6092 | 2005-06-01 |
| 1356655104 | Logan A Frank | Radiology | 1316 Old Highway 63 S, Ste 102, Columbia, MO 65201-6092 | 2010-08-04 |
| 1265640783 | Melanie Boerio | Nurse Practitioner | 1316 Old Highway 63 S, Suite 200, Columbia, MO 65201-6092 | 2007-05-18 |
| 1538157755 | Andrew J Getzoff | Radiology | 1316 Old Highway 63 S, Suite 102, Columbia, MO 65201-6092 | 2005-10-11 |
| 1144217233 | Laura J. Sievert | Radiology | 1316 Old Highway 63 S, Suite 102, Columbia, MO 65201-6092 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003887969 | Scott C Buckner | Radiology | 10440 Little Patuxent Pkwy, Suite 820, Columbia, MD 21044-3561 | 2006-01-30 |
| 1336311901 | Palmetto Health | Radiology | Taylor At Marion St, Columbia, SC 29220-0001 | 2008-03-24 |
| 1588763288 | Gaurav Kumar | Radiology | 1 Hospital Dr, Columbia, MO 65212-0001 | 2006-09-21 |
| 1548366610 | Ryan M Davis | Radiology | 1 Hospital Dr, Columbia, MO 65212-0001 | 2006-09-16 |
| 1700998648 | Paresh Shah | Radiology | 3 Richland Medical Park Dr, Columbia, SC 29203-6849 | 2006-08-31 |
| 1821085812 | Hun T. Lee | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649396334 | William Edward Holloway | Radiology | 226 N Boyle Ave Apt 2n, Saint Louis, MO 63108-2922 | 2007-03-22 |
| 1740212299 | Vein Doctor LLC | Radiology | 2529 Glenn Hendren Dr Ste G60, Liberty, MO 64068-9607 | 2006-07-07 |
| 1952376170 | Jay Welch Albovias | Radiology | 201 Dunn Rd, Florissant, MO 63031-7928 | 2006-02-21 |
| 1548265960 | Dion Carlo Depaolis | Radiology | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2005-06-14 |
| 1851895718 | Allison Khoo | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 | 2018-03-23 |
| 1922530666 | Francisco Javier Gortes | Radiology | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 | 2017-03-31 |
| 1154778959 | Jimmy Xu | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2016-05-21 |
| 1396152005 | Ahmed Abdelbaki | Radiology | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2014-07-14 |
| 1124446844 | Alexander Ushinsky | Radiology | 510 S Kingshighway Blvd, Saint Louis, MO 63110 | 2014-03-31 |
| 1144650938 | Diagnostic Radiology PC Vein Clinic | Radiology | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-15 |
| 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.