MARK HAZEN (NPI# 1538139779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538139779 |
| Entity Type | Individual |
| Full Name | MARK HAZEN |
| Credential | M.D. |
| Practice Address |
2209 S Sterling St Suite 600 Morganton NC 28655-4091 |
| Mailing Address |
Po Box 601067 Charlotte NC 28260-1067 |
| Practice Telephone | 7044444244 |
| Practice Fax Number | 7043475261 |
| Mailing Telephone | 7044444244 |
| Mailing Fax Number | 7043475261 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2011-00879 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01039253 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0822604 | 05 | |
| NC | 5912675 | 05 | |
| IN | ANTHEM | 000000087407 | 01 |
| RAILROAD | 110070255 | 01 | |
| IN | MEDICARE | 260690FF | 01 |
| SC | Q0087J | 05 | |
| IN | 100101790 | 05 | |
| NC | 1538139779 | 05 | |
| IN | RAILROAD | P00783721 | 01 |
| Street Address |
2209 S STERLING ST SUITE 600 |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-4091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003230608 | /svpblue Ridge Healthcare Medcal Group, Inc | Surgery | 2209 S Sterling St, Suite 440, Morganton, NC 28655-4091 | 2014-02-18 |
| 1568725281 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 2209 S Sterling St, Suite 330, Morganton, NC 28655-4091 | 2012-06-18 |
| 1962784363 | Carolinas Physicians Network Inc | Internal Medicine | 2209 S Sterling St, Suite 530, Morganton, NC 28655-4091 | 2011-09-13 |
| 1649581000 | Carolina Spine & Neurosurgery Center, Pa | Psychiatry & Neurology | 2209 S Sterling St, Suite 530, Morganton, NC 28655-4093 | 2010-06-30 |
| 1942525464 | Carolinas Physicians Network Inc | Internal Medicine | 2209 S Sterling St, Ste 530, Morganton, NC 28655-4091 | 2010-03-29 |
| 1245486067 | Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | 2209 S Sterling St, Suite 400, Morganton, NC 28655-4091 | 2008-08-12 |
| 1902069693 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2209 S Sterling St, Suite 200, Morganton, NC 28655-4091 | 2008-07-03 |
| 1700090636 | Nathaniel Ryan Krogel | Specialist | 2209 S Sterling St, Suite 200, Morganton, NC 28655-4091 | 2007-05-09 |
| 1417000837 | Blue Ridge Healthcare Hospitals, Inc. | Internal Medicine | 2209 S Sterling St, Morganton, NC 28655-4091 | 2007-01-19 |
| 1326156944 | Rhonda Annette Mcneely | Registered Nurse | 2209 S Sterling St, Suite 400, Morganton, NC 28655-4092 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730290271 | Roger Lee Seagle Sr. | Internal Medicine | 505 E Parker Rd, Morganton, NC 28655-5104 | 2006-08-31 |
| 1003873530 | Walter Curtis Pearcy | Internal Medicine | 137 W Parker Rd, Suite B, Morganton, NC 28655-4622 | 2006-04-27 |
| 1740243823 | Ryan Vern Miller | Internal Medicine | 2209 S Sterling St Ste 530, Morganton, NC 28655-4093 | 2006-04-10 |
| 1366401036 | Sardar Mahmood Shah Khan | Internal Medicine | 303 S College St, Morganton, NC 28655-3844 | 2006-03-21 |
| 1487651535 | Charles G Vasey | Internal Medicine | 127 Wamsutta Mill Rd Ste D, Morganton, NC 28655-5523 | 2005-07-05 |
| 1942525464 | Carolinas Physicians Network Inc | Internal Medicine | 2209 S Sterling St, Ste 530, Morganton, NC 28655-4091 | 2010-03-29 |
| 1124282413 | Sean Pokorney | Internal Medicine | 2209 S Sterling St Ste 530, Morganton, NC 28655-4093 | 2008-07-15 |
| 1417137811 | Cardiology Associates of The Carolinas, P.a. | Internal Medicine | 505 E Parker Rd, Morganton, NC 28655-5104 | 2007-11-14 |
| 1093923187 | Fernando A. De La Serna | Internal Medicine | 2209 S Sterling St Ste 530, Morganton, NC 28655-4093 | 2007-05-20 |
| 1720181167 | John William Wittenborn | Internal Medicine | 127 Wamsutta Mill Rd Ste D, Morganton, NC 28655-5523 | 2006-09-07 |
| Find all providers in MORGANTON | ||||
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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.