RODOLFO S LAZO (NPI# 1720090574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720090574 |
| Entity Type | Individual |
| Full Name | RODOLFO S LAZO |
| Credential | M.D. |
| Practice Address |
620 Broad St Central State Hospital Milledgeville GA 31062-7525 |
| Practice Telephone | 4784454128 |
| Mailing Telephone | 4784454128 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 016811 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00593403A | 05 |
| Street Address |
620 BROAD ST CENTRAL STATE HOSPITAL |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31062-7525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528486784 | Frank Nelson Ragland | Respiratory Therapist, Registered | 620 Broad St, Milledgeville, GA 31062-7525 | 2014-04-03 |
| 1821225343 | Kathleen A. Martin | Nurse Practitioner | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2009-06-11 |
| 1902030307 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 620 Broad St, Milledgeville, GA 31062-7525 | 2009-05-13 |
| 1831334515 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 620 Broad St, Central Care-yarbrough Bldg-3rd Floor, Milledgeville, GA 31062-7525 | 2008-12-09 |
| 1740462399 | Wigberto Vivas | General Practice | 620 Broad St, Milledgeville, GA 31062-7525 | 2007-12-05 |
| 1770765745 | Cynthia B. Lee | Dentist | 620 Broad St, Milledgeville, GA 31062-7525 | 2007-12-03 |
| 1336350750 | Ernesto A Coligado | General Practice | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-05-25 |
| 1013068030 | Charles Meyer Jr. | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-01-16 |
| 1790836724 | Anita Mikita | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-01-16 |
| 1578679122 | Yonghua Du | General Practice | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758429 | Mary Decruise | Psychologist | 2450 Vinson Hwy, Milledgeville, GA 31062 | 2007-12-28 |
| 1922668169 | Lufti I Yargic | Psychiatry & Neurology | Csh - Cook Building 2450 Vinson Highway, Milledgeville, GA 31062-0001 | 2019-06-19 |
| 1770047276 | Ekrem Dogan | Internal Medicine | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2019-01-29 |
| 1144703497 | Tara Walker | Nurse Practitioner | Central State Hospital 2450 Vinson Hwy, Milledgeville, GA 31062-0001 | 2018-09-12 |
| 1356586259 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1631 Valley Cir, Milledgeville, GA 31062-0001 | 2008-12-05 |
| 1841487667 | Georgia Department of Human Resources | General Acute Care Hospital | 2400 Vinson Hwy, Milledgeville, GA 31062-0001 | 2007-09-25 |
| 1659369866 | Clinton Wade Hodges | Pharmacist | Csh Pharmaceutical Services, Lawrence Rd., Milledgeville, GA 31062-0001 | 2005-10-11 |
| 1922621184 | Uzma Beg | Psychiatry & Neurology | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2020-05-22 |
| 1114010485 | Jeffrey D'neil Harris | Psychologist | 2450 Vinson Highway, Milledgeville, GA 31062-1622 | 2006-10-01 |
| 1235527144 | Loukisha Monique Roberts | Registered Nurse | 2450 Vinson Highway, Milledgeville, GA 31062-5641 | 2014-12-30 |
| Find all providers in zip 31062 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427232180 | Michael B Roberts | Surgery | 750 N Cobb St, Suite 110, Milledgeville, GA 31061-2390 | 2007-12-18 |
| 1881889871 | Piedmont Regional Surgical | Surgery | 750 N Cobb St Ste 130, Milledgeville, GA 31061-7168 | 2007-09-12 |
| 1144232075 | Miguel A Fernandez | Surgery | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-12 |
| 1083626865 | Hector Piza | Surgery | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31062 |
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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.