MICHAEL J LAZAR JR. (NPI# 1376505180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376505180 |
| Entity Type | Individual |
| Full Name | MICHAEL J LAZAR JR. |
| Credential | MD |
| Practice Address |
1140 Sonoma Ave Ste 1a Santa Rosa CA 95405-4817 |
| Mailing Address |
3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7075465553 |
| Practice Fax Number | 7075460725 |
| Mailing Telephone | 7075756049 |
| Mailing Fax Number | 7075460725 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | C40958 | CA | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
C40958 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1376505180 | 05 | |
| RAILROAD MEDICARE | P00638732 | 01 | |
| CA | BS OF CALIFORNIA | 00C409580 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689784803 | Michael S Lazar | Chiropractor | 22940 Joaquin Gully Rd, Twain Harte, CA 95383-1548 | 2006-08-30 |
| 1215480173 | Michael Lazar | Counselor | 211 E Six Forks Rd, Suite 117, Raleigh, NC 27609 | 2016-07-27 |
| 1134537608 | Michael Lazar | Dentist | 800 Woodbury Rd, Suite B, Woodbury, NY 11797 | 2014-07-29 |
| 1982862330 | Michael Lazar | Anesthesiology | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6504 | 2008-06-01 |
| 1962469650 | Michael J Lazar | Surgery | 740 High St, Suite 2001, Williamsport, PA 17701-3102 | 2006-04-27 |
| 1114987815 | Michael Lazar | Internal Medicine | 2799 West Grand Blvd, Suite K17, Detroit, MI 48202-2608 | 2006-03-25 |
| Street Address |
1140 SONOMA AVE STE 1A |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356776355 | James Grossman | Physician Assistant | 1140 Sonoma Ave, Bldg. 3, Santa Rosa, CA 95405-4817 | 2013-09-09 |
| 1659671600 | Planned Parenthood: Shasta-diablo, Inc. | Clinic/Center | 1140 Sonoma Ave, Santa Rosa, CA 95405-4817 | 2010-10-25 |
| 1588829691 | Northern California Medical Assoc Inc | Urology | 1140 Sonoma Ave, Ste 1a, Santa Rosa, CA 95405-4817 | 2008-07-29 |
| 1508049594 | Karen Marie Clark | Nurse Practitioner | 1140 Sonoma Ave, 2a, Santa Rosa, CA 95405-4817 | 2007-12-12 |
| 1649466004 | Sutter Medical Group of The Redwoods | Pediatrics | 1140 Sonoma Ave, Building 3, Santa Rosa, CA 95405-4817 | 2007-09-19 |
| 1740497072 | Sutter Medical Group of The Redwoods | Obstetrics & Gynecology | 1140 Sonoma Ave, Suite 2a, Santa Rosa, CA 95405-4817 | 2007-05-17 |
| 1992875405 | Jeannie L Pflum Do Inc | Obstetrics & Gynecology | 1140 Sonoma Ave, Suite 2a, Santa Rosa, CA 95405-4817 | 2006-11-09 |
| 1912910811 | Michael J. Lazar, Jr., M.d., Professional Medical Corporation | Urology | 1140 Sonoma Ave, Suite 1a, Santa Rosa, CA 95405-4817 | 2006-08-14 |
| 1942252911 | Natasha Ann Kahl | Obstetrics & Gynecology | 1140 Sonoma Ave, Ste 2a, Santa Rosa, CA 95405-4817 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417019902 | Donald Infanger Vangiesen | Urology | 3435 Happy Valley Ct, Santa Rosa, CA 95404 | 2006-12-14 |
| 1790700532 | Thomas Duckett | Urology | 500 Doyle Park Dr Ste 303, Santa Rosa, CA 95405-4559 | 2006-07-13 |
| 1083690259 | Paul Doey Mcadams | Urology | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3658 | 2005-12-20 |
| 1225036320 | David John Martin | Urology | 4415 Sonoma Hwy, Suite A, Santa Rosa, CA 95409-7100 | 2005-07-12 |
| 1306078050 | Adam Geoffrey Kaplan | Urology | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3658 | 2009-08-13 |
| 1285896605 | Yagil Barazani | Urology | 401 Bicentennial Way, Kaiser Santa Rosa Medical Center, Dept of Urology, Santa Rosa, CA 95403 | 2008-06-26 |
| 1366628224 | Sutter Medical Group of The Redwoods | Urology | 500 Doyle Park Dr, Ste. 303, Santa Rosa, CA 95405-4558 | 2008-01-10 |
| 1366526337 | Mark F. Klein | Urology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1972687960 | James K. Palmer II | Urology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1912910811 | Michael J. Lazar, Jr., M.d., Professional Medical Corporation | Urology | 1140 Sonoma Ave, Suite 1a, Santa Rosa, CA 95405-4817 | 2006-08-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on MICHAEL J LAZAR JR..
| 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.