CALEB I MARTINEZ LAZO CAA
NPI 1639809353
Anesthesiologist Assistant in Fayetteville, GA

NPI Status: Active since June 15, 2022

Contact Information

1255 HIGHWAY 54 W
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 719-7000

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  • Individual
  • Male
  • Years of Experience 4
  • Anesthesiologist Assistant
  • Accepts Medicare Approved Payment

About CALEB MARTINEZ LAZO

This page provides the complete NPI Profile along with additional information for Caleb Martinez Lazo, a provider established in Fayetteville, Georgia with a medical specialization in Anesthesiologist Assistant and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1639809353 assigned on June 2022. The practitioner's primary taxonomy code is 367H00000X with license number 11208 (GA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1639809353
Provider Name
CALEB I MARTINEZ LAZO CAA
Gender
Male
Entity Type
Individual
Location Address
1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214
Location Phone
(770) 719-7000
Mailing Address
718 NIGHTWIND WAY STOCKBRIDGE, GA 30281
Mailing Phone
(678) 978-0169
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
06-15-2022
Last Update Date
10-18-2022
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Location Map

Secondary Locations

  • 1968 Peachtree Rd NW
    Atlanta, GA 30309
    (678) 216-0771
  • 775 Poplar Rd Ste Ll20
    Newnan, GA 30265
    (770) 253-1912
  • 745 Poplar Rd
    Newnan, GA 30265
    (770) 400-1000
  • 1800 Howell Mill Rd NW Ste 250
    Atlanta, GA 30318
    (404) 537-4910

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiologist Assistant

Taxonomy Code
367H00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
11208
License State
GA
Taxonomy Description
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367H00000XPhysician Assistants & Advanced Practice Nursing Providers

Anesthesiologist Assistant

(GA)
2367H00000XPhysician Assistants & Advanced Practice Nursing Providers

Anesthesiologist Assistant

 

Medicare Participation & PECOS Enrollment Status

Caleb Martinez Lazo is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7719353226

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20221024001905

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Caleb Martinez Lazo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PIEDMONT FAYETTE HOSPITAL1255 HIGHWAY 54 WEST
FAYETTEVILLE, GA 30214
(770) 719-7000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639809353
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266916018310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 6 + 0 + 1 + 8 + 3 + 1 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639809353 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376641142MS. DENISE LOUISE BENNETT MS, RD, LD, CDE
Individual
Dietitian, Registered1255 HIGHWAY 54 W PIEDMONT FAYETTE HOSPITAL - DIABETES EDUCATION DEPT
FAYETTEVILLE, GA 30214
(770) 719-6621
1871649889 DIANA RANNA NP
Individual
Nurse Practitioner1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7295
1336269950MRS. SUSAN STOOKSBURY BAKER PT, MS
Individual
Physical Therapist1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7183
1679693295MRS. AMY WILLIAMSON PT
Individual
Physical Therapist1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7183
1417077116 BEVERLY BLAKELY PT
Individual
Physical Therapist1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7182
1962522649MS. KATHRYN LEE HARRIS M.S.CCC-SLP
Individual
Speech-Language Pathologist1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7185
1003936790MRS. LISA LAJUNE SMITH PT, M.ED.
Individual
Physical Therapist1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7183
1467572941MS. MIRANDA M BLASER DPT
Individual
Physical Therapist1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7184
1366562712 KAREN MICHELE VARISCO-RUSSELL PTA
Individual
Physical Therapy Assistant1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7183
1982818894MS. MELISSA KAYE JOHNSON PT, CWS
Individual
Physical Therapist1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7196
1316151087 KERI SUNVOLD
Individual
Physical Therapist1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7256
1649488776MRS. LARA BOOK WHITAKER P.T.
Individual
Physical Therapist1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7180
1598968646 JULIE HALL PARKER P.T.A.
Individual
Physical Therapy Assistant1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7183
1760651665PIEDMONT FAYETTE HOSPITAL
Organization
Chronic Disease Hospital1255 HIGHWAY 54 W HEART FAILURE CENTER
FAYETTEVILLE, GA 30214
(770) 719-6747
1255586004PEDIATRIC EMERGENCY MEDICINE ASSOCIATES LLC
Organization
Pediatrics (Pediatric Emergency Medicine)1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(678) 344-1960
1477782399MRS. MARIA MAGDALENA EARNHART
Individual
Anesthesiologist Assistant1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7000
1548586761FAYETTE EMERGENCY GROUP LLC
Organization
Emergency Medicine1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7000
1356653273 PAUL JOSEPH OENICK PA
Individual
Physician Assistant1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(800) 893-9698
1780998278 KAREN GOODING ANP-C
Individual
Nurse Practitioner1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-6059
1609176221 GEORGE BENJAMIN THORNTON
Individual
Anesthesiologist Assistant1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 719-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639809353, enumerated in the NPI registry as an "individual" on June 15, 2022

The provider is located at 1255 Highway 54 W Fayetteville, Ga 30214 and the phone number is (770) 719-7000

The provider's speciality is Anesthesiologist Assistant with taxonomy code 367H00000X

The provider has more than 4 years of experience.

The practitioner is affiliated to the following hospital(s): PIEDMONT FAYETTE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 15, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.