JEFFREY E. HAZLEWOOD (NPI# 1396789269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396789269 |
| Entity Type | Individual |
| Full Name | JEFFREY E. HAZLEWOOD |
| Credential | M.D. |
| Practice Address |
100 Physicians Way Suite 250 Lebanon TN 37090-8102 |
| Practice Telephone | 6154443307 |
| Practice Fax Number | 6154445579 |
| Mailing Telephone | 6154534045 |
| Mailing Fax Number | 6154445579 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | MD0000027823 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 4121917 | 01 |
| TN | 3800495 | 05 |
| Street Address |
100 PHYSICIANS WAY SUITE 250 |
| City | LEBANON |
| State | TN |
| Zip Code | 37090-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 1982059317 | Lydia Moore | Nurse Practitioner | 100 Physicians Way, Suite 300, Lebanon, TN 37090-8102 | 2016-05-04 |
| 1962809129 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 120, Lebanon, TN 37090-8102 | 2014-12-03 |
| 1043615644 | Kristina Moore | Physician Assistant | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2014-10-27 |
| 1386073674 | Stacey Atkins | Nurse Practitioner | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2013-11-06 |
| 1437584299 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2013-09-11 |
| 1538407127 | Casey Paige Lewis | Pharmacist | 100 Physicians Way, Lebanon, TN 37090-8102 | 2013-01-16 |
| 1134471725 | Uap Lebanon Endo, LLC | Nurse Anesthetist, Certified Registered | 100 Physicians Way, Ste 340, Lebanon, TN 37090-8102 | 2012-10-08 |
| 1467737999 | Janet Daily | Nurse Practitioner | 100 Physicians Way, Suite 330, Lebanon, TN 37090-8102 | 2011-10-16 |
| 1023327814 | Kristy M Blaney | Registered Nurse | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2010-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1760575831 | Ronald Scott Forczek | Respiratory Therapist, Certified | 8265 Trousdale Ferry Pike, Lebanon, TN 37090 | 2006-10-02 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1811109614 | Susan Anissa Hatcher | Occupational Therapy Assistant | 2215 Callis Rd, Lebanon, TN 37090 | 2007-05-04 |
| 1326030156 | Tennessee Orthopedics, P.C. | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-18 |
| 1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
| 1801939798 | Prospect, Inc. | In Home Supportive Care | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2007-02-14 |
| 1093262743 | Prospect, Incorporated | Day Training, Developmentally Disabled Services | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2016-09-09 |
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| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710321476 | Kerry G. Kuschnick | Physical Medicine & Rehabilitation | 2560 S 5th St, Lebanon, OR 97355-2456 | 2013-04-24 |
| 1588897953 | Matthew John Zak | Physical Medicine & Rehabilitation | 410 Miracle Mile, Lebanon, NH 03766-2639 | 2009-09-01 |
| 1174722268 | Ali Ahsen Shah | Physical Medicine & Rehabilitation | 30 N 4th St Fl 1, Lebanon, PA 17046-5606 | 2007-07-17 |
| 1023017332 | Louis Dizon | Physical Medicine & Rehabilitation | 344 Overlook Dr, Lebanon, VA 24266-3436 | 2005-07-19 |
| 1316460389 | Mary Russell | Physical Medicine & Rehabilitation | 144 Evergreen Pkwy, Lebanon, MO 65536-7056 | 2017-07-21 |
| 1083032858 | Graham Edward Wagner | Physical Medicine & Rehabilitation | One Medical Center Dr., Dhmc - Department of Pain Medicine, Lebanon, NH 03756-0001 | 2014-03-31 |
| 1457607319 | Susan Leininger | Physical Medicine & Rehabilitation | 113 S 9th St, Lebanon, PA 17042-5108 | 2012-07-30 |
| 1487951299 | Jason Michael Donnelly | Physical Medicine & Rehabilitation | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2011-02-15 |
| 1003968959 | Hartman Rehabilitation Associates | Physical Medicine & Rehabilitation | 341 Cumberland St, 1st Floor, Lebanon, PA 17042-5547 | 2007-01-18 |
| 1992852693 | Todd P Lefkoe | Physical Medicine & Rehabilitation | 1 Medical Center Dr, Lebanon, NH 03756 | 2007-01-04 |
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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.