Paul Edward Hazelrig Jr. (NPI# 1477568061, PAC ID# 3870659394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1477568061 |
| PAC ID by PECOS | 3870659394 |
| Professional Enrollment ID | I20090312000435 |
| Full Name | Paul Edward Hazelrig Jr. |
| Organization Legal Name | SAN MATEO ORTHOPEDIC MEDICAL GROUP INC |
| Address |
77 N San Mateo Dr Suite 1 San Mateo CA 94401-2853 |
| Phone Number | 6503420854 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3577524040 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050007 | PENINSULA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 | 6503420854 | SAN MATEO ORTHOPEDIC MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 99% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 45% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | SAN MATEO ORTHOPEDIC MEDICAL GROUP INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felix An-hua Chen | Pain Management | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Samantha Oliveira | Physician Assistant | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Richard L Florio | Orthopedic Surgery | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Stephen S Hurst | Orthopedic Surgery | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Dennis C Park | Orthopedic Surgery | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Nicole Cassie Corwin | Nurse Practitioner | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Street Address |
77 N SAN MATEO DR SUITE 1 |
| City | SAN MATEO |
| State | CA |
| Zip | 94401-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucy M Schmidt | Dermatology | 77 N San Mateo Dr, Suite 3, San Mateo, CA 94401-2853 | |
| Felix An-hua Chen | Pain Management | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Samantha Oliveira | Physician Assistant | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Richard L Florio | Orthopedic Surgery | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Stephen S Hurst | Orthopedic Surgery | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| James P Twomey | Physical Therapy | Corkish and Lew A Professional Physical Therapy Corporation | 77 N San Mateo Dr, Suite 2, San Mateo, CA 94401-2853 |
| Dennis C Park | Orthopedic Surgery | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Nicole Cassie Corwin | Nurse Practitioner | San Mateo Orthopedic Medical Group Inc | 77 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2853 |
| Elise Marie Tarrant | Physical Therapy | Corkish and Lew A Professional Physical Therapy Corporation | 77 N San Mateo Dr, San Mateo, CA 94401-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin Chen | Chiropractic | 417 N San Mateo Dr, San Mateo, CA 94401-2417 | |
| Ian Y.h. Lin | Internal Medicine | 417 N San Mateo Dr, San Mateo, CA 94401-2417 | |
| Marilyn I Carmona | Chiropractic | 415 N San Mateo Dr, Suite 2, San Mateo, CA 94401-2494 | |
| Anthony Ferrera | Oral Surgery | 341 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2513 | |
| Thang Cao Nguyen | Family Medicine | 328 N San Mateo Dr, Suite A, San Mateo, CA 94401-2514 | |
| Edward C Sun | Orthopedic Surgery | 359 N San Mateo Dr, Suite 1, San Mateo, CA 94401-2584 | |
| Jonathan M Rose | Psychologist, Clinical | 327 N San Mateo Dr, Suite 3, San Mateo, CA 94401-2585 | |
| Paul I Wachter | Psychiatry | 327 N San Mateo Dr, Suite 7, San Mateo, CA 94401-2585 | |
| Marcia J Schwartz | Clinical Psychologist | 215 N San Mateo Dr, Suite 9, San Mateo, CA 94401-2622 | |
| Gregory W Becker | Chiropractic | 215 N San Mateo Dr, 3 Becker Chiropractic, San Mateo, CA 94401-2674 | |
| Find all physicians in zip 94401 | |||
| City | SAN MATEO |
| Zip Code | 94401 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SAN MATEO + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Paul Edward Hazelrig Jr..
| 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.