Nicole R Hazelwood (NPI# 1558504076, PAC ID# 4688726383) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1558504076 |
| PAC ID by PECOS | 4688726383 |
| Professional Enrollment ID | I20090709000776 |
| Full Name | Nicole R Hazelwood |
| Organization Legal Name | PARKLAND HEALTH CENTER |
| Address |
1101 W Liberty St Farmington MO 63640-1921 |
| Phone Number | 5737566451 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1951219237 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260163 | PARKLAND HEALTH CENTER |
| 260023 | MERCY HOSPITAL JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 3550 Mckelvey Rd, Bridgeton, MO 63044-2527 | 3147410911 | AIM ANESTHESIA LLC |
| 30 Doctors Park, Cape Girardeau, MO 63703-4928 | 5733349606 | DPS ANESTHESIA, LLC |
| 1101 W Liberty St, Farmington, MO 63640-1921 | 5737566451 | PARKLAND HEALTH CENTER |
| 1101 W Gannon Dr, Festus, MO 63028-2602 | 6369315997 | AIM ANESTHESIA LLC |
| 1400 Us Hwy 61, Festus, MO 63028-4100 | 6369331112 | ACUITY ANESTHESIOLOGY, LLC |
| 1028 S Kirkwood Rd, Kirkwood, MO 63122-7222 | 3143942950 | AIM ANESTHESIA LLC |
| Organization Legal Name | PARKLAND HEALTH CENTER |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Dore | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Barbara Anderson | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Eric K Hale | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Gregory B Reed | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Mary K Bader | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Joseph Faries | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Tommy W Sampson | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Christopher J Parker | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Thomas David Wills Iii | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Amanda A Jacobs | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Street Address |
1101 W LIBERTY ST |
| City | FARMINGTON |
| State | MO |
| Zip | 63640-1921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Dore | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Jamesy C Smith | Family Medicine | Physician Groups Lc | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Zahid Kaleem | Pathology | Mid-america Pathology Consultants, LLC | 1101 W Liberty St, Parkland Health Center, Farmington, MO 63640-1921 |
| Barbara Anderson | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Eric K Hale | Certified Registered Nurse Anesthetist (crna) | Parkland Health Center | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Megan D Huhman | Nurse Practitioner | Physician Groups Lc | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Mitra B Boodram | Diagnostic Radiology | Midwest Radiological Associates PC | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Feraas Jabi | Diagnostic Radiology | Midwest Radiological Associates PC | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Dwayne N Damba | Family Medicine | Southeastern Emergency Physicians of Memphis LLC | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Mohamed B Ramadan | Hospitalist | Physician Groups Lc | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa R Long | Chiropractic | 307 E E Karsch Blvd, Farmington, MO 63640-1203 | |
| Abraham Ray Renaud | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Adam P Overcast | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Kathryn S Wiles | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Paula S Alvarez | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Christopher John Donze | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Bonnie L Hartrup | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Steven Wade | Qualified Audiologist | Sound Health Services PC | 501 W Pine St, Farmington, MO 63640-1439 |
| Gina L Heberlie | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Robin L Gipson | Clinical Social Worker | Hope and Healing Counseling Center LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Find all physicians in zip 63640 | |||
| City | FARMINGTON |
| Zip Code | 63640 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FARMINGTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Nicole R Hazelwood.
| 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.