Mark Hazen (NPI# 1538139779, PAC ID# 4082761580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1538139779 |
| PAC ID by PECOS | 4082761580 |
| Professional Enrollment ID | I20110629000616 |
| Full Name | Mark Hazen |
| Organization Legal Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Address |
1041 Morganton Swblvd Suite 100 Lenoir NC 28645-5605 |
| Phone Number | 8289913278 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9436159712 |
| Number of Group Practice Members | 174 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340075 | CAROLINAS HEALTHCARE SYSTEM-BLUE RIDGE |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1041 Morganton Swblvd, Suite 100, Lenoir, NC 28645-5605 | 8289913278 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 1041 Morganton Swblvd, Lenoir, NC 28645-5605 | 8289913278 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Physicians | 147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Minai Movaghar | Geriatric Medicine | Blue Ridge Healthcare Medical Group Inc | 111 Foothills Dr, Suite B, Morganton, NC 28655-5123 |
| Gregory J Antal | Physical Therapy | Blue Ridge Healthcare Medical Group Inc | 348 Grace Corpening Dr, Marion, NC 28752-5864 |
| Barbara A Nagy | Internal Medicine | Blue Ridge Healthcare Medical Group Inc | 2659 Us 70, Valdese, NC 28690-9517 |
| Lisa T Mangum | Nurse Practitioner | Blue Ridge Healthcare Medical Group Inc | 111 B Foothills Dr, Morganton, NC 28655-5123 |
| Matthew T Mishoe | Gastroenterology | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 200, Morganton, NC 28655-4091 |
| Emily C Diggs | Physician Assistant | Blue Ridge Healthcare Medical Group Inc | 2134 14th Ave Cir Nw, Hickory, NC 28601-7357 |
| Galen M Edwards | Physician Assistant | Blue Ridge Healthcare Medical Group Inc | 695 W Fleming Dr, Morganton, NC 28655-4450 |
| Lauren O Lippard | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 109 Foothills Dr, Morganton, NC 28655-5152 |
| Carolyn Vance Gordon | Internal Medicine | Blue Ridge Healthcare Medical Group Inc | 117 Foothills Dr, Morganton, NC 28655-5152 |
| Jill N Konkol | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 1766 Connelly Springs Rd, Lenoir, NC 28645-7827 |
| Street Address |
1041 MORGANTON SWBLVD SUITE 100 |
| City | LENOIR |
| State | NC |
| Zip | 28645-5605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Silpa Rao | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 300, Morganton, NC 28645-4092 |
| Jessica Strasler Medford | Clinical Psychologist | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 300, Morganton, NC 28645-4092 |
| Paula Lynn Gilbert | Nurse Practitioner | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 300, Morganton, NC 28645-4092 |
| Penny Mitchell | Nurse Practitioner | Emergeortho Pa | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 |
| John Mark Picton | Obstetrics/gynecology | 2345 Morganton Blvd Sw, Lenoir, NC 28645-4973 | |
| Roger Keever | Physician Assistant | County of Caldwell | 2345 Morganton Swblvd B, Lenoir, NC 28645-4973 |
| Warren A Chang | Hospitalist | Catawba Valley Medical Center | 810 Harper Nwave, Lenoir, NC 28645-5083 |
| Tyler A Clark | Hospitalist | Catawba Valley Medical Center | 810 Harper Nwave, Lenoir, NC 28645-5083 |
| Samuel H Templeman Iii | Optometry | 214 Church St, Lenoir, NC 28645-5117 | |
| Freda Clark Cowan | Nurse Practitioner | Caldwell Hospice and Palliative Care Inc | 902 Kirkwood Ave Nw, Lenoir, NC 28645-5121 |
| Find all physicians in zip 28645 | |||
| City | LENOIR |
| Zip Code | 28645 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LENOIR + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Mark Hazen.
| 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.