MRS. MARY PATRICIA LAZAREK (NPI# 1689747974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689747974 |
| Entity Type | Individual |
| Full Name | MRS. MARY PATRICIA LAZAREK |
| Other Name | MS. MARY P SHEEHAN |
| Credential | CRNP |
| Practice Address |
2424 Reedie Dr Wheaton MD 20902-4624 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 3019626173 |
| Mailing Telephone | 3018167405 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024066457 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R103005 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2424 REEDIE DR |
| City | WHEATON |
| State | MD |
| Zip Code | 20902-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871600288 | Maria R Peko-rios | Psychiatry & Neurology | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2006-08-23 |
| 1023393469 | David Michael Goodman | Social Worker | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2011-10-17 |
| 1316241441 | Mclmhp Inc Proyecto Salud | Clinic/Center | 2424 Reedie Dr, Suite 125, Wheaton, MD 20902-4624 | 2011-01-04 |
| 1548487655 | Gregorio Koss | Specialist | 2424 Reedie Dr, 122, Wheaton, MD 20902-4624 | 2007-04-19 |
| 1104946482 | Montgomery County Maryland Government | Clinic/Center | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2007-03-30 |
| 1588725022 | Harold J Fruchter | Physician Assistant | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2006-12-12 |
| 1235217233 | Lidia Ruth Carnota | Psychiatry & Neurology | 2424 Reedie Dr, Wheaton, MD 20902-4624 | 2006-11-01 |
| 1689761066 | Anabelle Pollock | Social Worker | 2424 Reedie Dr, Suite 300, Wheaton, MD 20902-4624 | 2006-10-06 |
| 1417043167 | Guillermo Olguin Olivos | Psychiatry & Neurology | 2424 Reedie Dr, Suite 300, Wheaton, MD 20902-4624 | 2006-10-04 |
| 1811081870 | Doina Adam | Counselor | 2424 Reedie Dr, Suite 300, Wheaton, MD 20902-4624 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
| 1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
| 1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
| 1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
| 1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
| 1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
| 1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
| 1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| Find all providers in zip 20902 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790114 | Behnoosh Shahrokh | Nurse Practitioner | 2045 Scottdale Cir, Wheaton, IL 60189-8970 | 2018-12-03 |
| 1871072926 | Patricia Deangelis | Nurse Practitioner | 2s472 Seneca Dr, Wheaton, IL 60189-8961 | 2018-08-09 |
| 1922585462 | Banis Githinji | Nurse Practitioner | 11101 Georgia Ave Unit 559, Wheaton, MD 20902-7607 | 2018-07-27 |
| 1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1669595070 | Katherine Dolores Schilder | Nurse Practitioner | 1506 E Roosevelt Rd, Wheaton, IL 60187-6806 | 2007-04-09 |
| 1427064708 | Marla J Bagge | Nurse Practitioner | 525 W Madison Ave, Wheaton, IL 60187-4069 | 2006-07-31 |
| 1396367439 | Red Rock Clinical Associates, LLC | Nurse Practitioner | 1725 S Naperville Rd Ste 206, Wheaton, IL 60189-5855 | 2020-05-12 |
| 1801433230 | Mercedes Elieth Miranda-sheffield | Nurse Practitioner | 2730 University Blvd W Ste 420, Wheaton, MD 20902-1972 | 2019-12-04 |
| 1285103366 | Sena Boardman | Nurse Practitioner | 290 W Loop Rd, Wheaton, IL 60189-2034 | 2018-11-18 |
| Find all providers in WHEATON | ||||
Please comment or provide details below to improve the information on MRS. MARY PATRICIA LAZAREK.
| 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.