STEWART JEROME HAZEL (NPI# 1013958958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013958958 |
| Entity Type | Individual |
| Full Name | STEWART JEROME HAZEL |
| Credential | M.D. |
| Practice Address |
3328 S 30th Ave Bozeman MT 59718-3709 |
| Practice Telephone | 2183490870 |
| Mailing Telephone | (218) 349-0870 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MED-PHYS-LIC-283 | MT | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 35040-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD20120733 | NM | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 29754 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 849792300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 733 W Clairemont Ave, Eau Claire, WI 547016101 | 1715838363 | 7158383635 |
| Street Address |
3328 S 30TH AVE |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891173225 | Colin Patrick Mcinnis | Ophthalmology | 300 N Willson Ave Ste 1003, Bozeman, MT 59715-3578 | 2015-05-18 |
| 1053679886 | Marc Fidelis Comaratta | Ophthalmology | 1940 W Dickerson St Ste 103, Bozeman, MT 59718-6851 | 2012-04-30 |
| 1083817647 | Jeffrey L Peckinpaugh | Ophthalmology | 1905 W College St, Bozeman, MT 59718-4061 | 2007-06-08 |
| 1144286121 | Mark Ross Comaratta | Ophthalmology | 1940 W Dickerson St, Suite 103, Bozeman, MT 59718-6851 | 2006-04-26 |
| 1205824448 | Lisa A Herrygers | Ophthalmology | 300 N Willson Ave, Ste 1003, Bozeman, MT 59715-3551 | 2005-10-12 |
| 1144759945 | Vance Thompson Vision Mt Prof LLC | Ophthalmology | 1925 N 22nd Ave, Bozeman, MT 59718-7020 | 2017-06-06 |
| 1235546094 | Peckinpaugh Oculoplastic Surgery | Ophthalmology | 1905 W College St, Bozeman, MT 59718-4061 | 2014-07-14 |
| 1174869325 | Mark R Comaratta Md PC | Ophthalmology | 1940 W Dickerson St, Suite 103, Bozeman, MT 59718-6851 | 2012-12-17 |
| 1184809956 | Wesley H Adams | Ophthalmology | 300 N Willson Ave, Suite 1003, Bozeman, MT 59715-3551 | 2007-12-29 |
| 1841334505 | Kristy L Moeller | Ophthalmology | 300 N Willson Ave, Suite 1003, Bozeman, MT 59715-3551 | 2007-02-16 |
| Find all providers in BOZEMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.