DR. KEITH ZACHARY HAZLETON (NPI# 1770825275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770825275 |
| Entity Type | Individual |
| Full Name | DR. KEITH ZACHARY HAZLETON |
| Credential | MD, PHD |
| Practice Address |
535 N Wilmot Rd Ste 101 Tucson AZ 85711-2683 |
| Mailing Address |
1625 N Campbell Ave # 245073 Tucson AZ 85719-4330 |
| Practice Telephone | 5206945437 |
| Mailing Telephone | 5206945437 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2020-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
61253 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
DR.0055436 | CO | Allopathic & Osteopathic Physicians |
| Y | 2080T0004X |
Pediatrics Specialization: Pediatric Transplant Hepatology |
61253 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080T0004X |
Pediatrics Specialization: Pediatric Transplant Hepatology |
DR.0055436 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
535 N WILMOT RD STE 101 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396718524 | Richard Donnerstein | Pediatrics | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-02-08 |
| 1932708328 | Banner -- University Medical Group | Clinic/Center | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2020-10-18 |
| 1114098472 | Joseph E Sheppard | Orthopaedic Surgery | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-11-10 |
| 1164511432 | Christine A Muhleman | Occupational Therapist | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-10-12 |
| 1659301240 | Cynthia L Uthe-straw | Nurse Practitioner | 535 N Wilmot Rd Ste 101, Tucson, AZ 85711-2683 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 2080T0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Transplant Hepatology |
| A pediatrician with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources; American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
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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.