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
- 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
- Code Navigator
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) |
---|---|---|---|---|
1 | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers | Anesthesiologist Assistant | (GA) |
2 | 367H00000X | Physician 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 HOSPITAL | 1255 HIGHWAY 54 WEST FAYETTEVILLE, GA 30214 | (770) 719-7000 | Acute 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. | |||||||||
1 | 6 | 3 | 9 | 8 | 0 | 9 | 3 | 5 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 16 | 0 | 18 | 3 | 10 | |
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 = 3 | 3 |
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 |
---|---|---|---|
1376641142 | MS. DENISE LOUISE BENNETT MS, RD, LD, CDE Individual | Dietitian, Registered | 1255 HIGHWAY 54 W PIEDMONT FAYETTE HOSPITAL - DIABETES EDUCATION DEPT FAYETTEVILLE, GA 30214 (770) 719-6621 |
1871649889 | DIANA RANNA NP Individual | Nurse Practitioner | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7295 |
1336269950 | MRS. SUSAN STOOKSBURY BAKER PT, MS Individual | Physical Therapist | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7183 |
1679693295 | MRS. AMY WILLIAMSON PT Individual | Physical Therapist | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7183 |
1417077116 | BEVERLY BLAKELY PT Individual | Physical Therapist | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7182 |
1962522649 | MS. KATHRYN LEE HARRIS M.S.CCC-SLP Individual | Speech-Language Pathologist | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7185 |
1003936790 | MRS. LISA LAJUNE SMITH PT, M.ED. Individual | Physical Therapist | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7183 |
1467572941 | MS. MIRANDA M BLASER DPT Individual | Physical Therapist | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7184 |
1366562712 | KAREN MICHELE VARISCO-RUSSELL PTA Individual | Physical Therapy Assistant | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7183 |
1982818894 | MS. MELISSA KAYE JOHNSON PT, CWS Individual | Physical Therapist | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7196 |
1316151087 | KERI SUNVOLD Individual | Physical Therapist | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7256 |
1649488776 | MRS. LARA BOOK WHITAKER P.T. Individual | Physical Therapist | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7180 |
1598968646 | JULIE HALL PARKER P.T.A. Individual | Physical Therapy Assistant | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7183 |
1760651665 | PIEDMONT FAYETTE HOSPITAL Organization | Chronic Disease Hospital | 1255 HIGHWAY 54 W HEART FAILURE CENTER FAYETTEVILLE, GA 30214 (770) 719-6747 |
1255586004 | PEDIATRIC EMERGENCY MEDICINE ASSOCIATES LLC Organization | Pediatrics (Pediatric Emergency Medicine) | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (678) 344-1960 |
1477782399 | MRS. MARIA MAGDALENA EARNHART Individual | Anesthesiologist Assistant | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7000 |
1548586761 | FAYETTE EMERGENCY GROUP LLC Organization | Emergency Medicine | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-7000 |
1356653273 | PAUL JOSEPH OENICK PA Individual | Physician Assistant | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (800) 893-9698 |
1780998278 | KAREN GOODING ANP-C Individual | Nurse Practitioner | 1255 HIGHWAY 54 W FAYETTEVILLE, GA 30214 (770) 719-6059 |
1609176221 | GEORGE BENJAMIN THORNTON Individual | Anesthesiologist Assistant | 1255 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.