Jordan S Lazer (NPI# 1336398643, PAC ID# 4284793977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1336398643 |
| PAC ID by PECOS | 4284793977 |
| Professional Enrollment ID | I20081110000857 |
| Full Name | Jordan S Lazer |
| Organization Legal Name | APPLE VALLEY MEDICAL CLINIC, LTD |
| Address |
14843 Energy Way Apple Valley MN 55124-5757 |
| Phone Number | 9529979357 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0941199905 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240043 | MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN |
| 240010 | MAYO CLINIC HOSPITAL ROCHESTER |
| Address | Phone | Organization |
|---|---|---|
| 404 W Fountain St, Albert Lea, MN 56007-2437 | 5073732384 | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| 14655 Galaxie Ave, Apple Valley, MN 55124-6572 | 9524324141 | APPLE VALLEY MEDICAL CLINIC, LTD |
| 14655 Galaxie Ave, Apple Valley, MN 55124-8575 | 9524326161 | APPLE VALLEY MEDICAL CLINIC, LTD |
| 14843 Energy Way, Apple Valley, MN 55124-5757 | 9529979357 | APPLE VALLEY MEDICAL CLINIC, LTD |
| 1000 1st Dr Nw, Austin, MN 55912-2941 | 5074337351 | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| 200 1st St Sw, Rochester, MN 55905-0001 | MAYO CLINIC |
| Organization Legal Name | APPLE VALLEY MEDICAL CLINIC, LTD |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Davis | Colorectal Surgery (proctology) | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-6572 |
| Holly A Hett | Family Medicine | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 |
| Robin L Shultz | Physician Assistant | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 |
| Benjamin Ari Satterfield | Internal Medicine | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 |
| Daisy Alfaro | Physician Assistant | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 |
| Stuart W Steichen | Family Medicine | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 |
| Julie A Gerth | Family Medicine | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 |
| Paul E Schultz | Family Medicine | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 |
| Thomas E Jones | Family Medicine | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 |
| Nicole M Lapage | Physician Assistant | Apple Valley Medical Clinic, Ltd | 14655 Galaxie Ave, Apple Valley, MN 55124-8575 |
| Street Address |
14843 ENERGY WAY |
| City | APPLE VALLEY |
| State | MN |
| Zip | 55124-5757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Gladden | Cardiovascular Disease (cardiology) | Apple Valley Medical Clinic, Ltd | 14843 Energy Way, Apple Valley, MN 55124-5757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nkeiruka Sylvia Anyiam | Nurse Practitioner | Minuteclinic Diagnostic Pa | 3633 Bunker Lake Blvd Nw, Andover, MN 55124 |
| Anthony M Felten | Chiropractic | 15322 Galaxie Ave, Suite 110, Apple Valley, MN 55124-3149 | |
| Sarah Robinson-hudson | Clinical Psychologist | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 140, Apple Valley, MN 55124-4509 |
| Promise C Amajiri | Nurse Practitioner | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Jill R Toliver | Nurse Practitioner | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven H Lutzwick | Psychiatry | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven C Severson | Clinical Social Worker | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Robert L Peterson | Psychologist, Clinical | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Samantha A Huguelet | Certified Clinical Nurse Specialist (cns) | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Hilary A Winkelmann | Nurse Practitioner | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Find all physicians in zip 55124 | |||
| City | APPLE VALLEY |
| Zip Code | 55124 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | APPLE VALLEY + PHYSICIAN ASSISTANT |
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| 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.