William Howard Hazle (NPI# 1629039763, PAC ID# 7113004219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1629039763 |
| PAC ID by PECOS | 7113004219 |
| Professional Enrollment ID | I20080414000064 |
| Full Name | William Howard Hazle |
| Organization Legal Name | BEAR LAKE COUNTY MEMORIAL HOSPITAL |
| Address |
822 Washington St Montpelier ID 83254-1423 |
| Phone Number | 2088474464 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 5395799860 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131321 | ST MARYS HOSPITAL AND CLINICS |
| 131320 | CLEARWATER VALLEY HOSPITAL & CLINICS |
| 131309 | CARIBOU MEMORIAL HOSPITAL |
| 131305 | STEELE MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 822 Washington St, Montpelier, ID 83254-1423 | 2088474464 | BEAR LAKE COUNTY MEMORIAL HOSPITAL |
| Organization Legal Name | BEAR LAKE COUNTY MEMORIAL HOSPITAL |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas M Packer | Obstetrics/gynecology | Bear Lake County Memorial Hospital | 166 S 5th St, Montpelier, ID 83254-1557 |
| Trevor D Jacobson | Family Medicine | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Lynn T Dayton | Obstetrics/gynecology | Bear Lake County Memorial Hospital | 467 Washington St, Montpelier, ID 83254-1544 |
| Shaun D Tobler | Clinical Social Worker | Bear Lake County Memorial Hospital | 822 Washington St, Montpelier, ID 83254-1423 |
| Trevor G Robinson | Obstetrics/gynecology | Bear Lake County Memorial Hospital | 164 S 5th St, Montpelier, ID 83254-1557 |
| Kerry Glen Jepsen | Orthopedic Surgery | Bear Lake County Memorial Hospital | 822 Washington St, Montpelier, ID 83254-1423 |
| Joseph E Podany | General Surgery | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Alex C Moss | Physician Assistant | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Anya M Anthony | Physician Assistant | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Lance A Hansen | Family Medicine | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Street Address |
822 WASHINGTON ST |
| City | MONTPELIER |
| State | ID |
| Zip | 83254-1423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shaun D Tobler | Clinical Social Worker | Bear Lake County Memorial Hospital | 822 Washington St, Montpelier, ID 83254-1423 |
| Kerry Glen Jepsen | Orthopedic Surgery | Bear Lake County Memorial Hospital | 822 Washington St, Montpelier, ID 83254-1423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kam E Jarman | Physical Therapy | 710 N 4th St, Montpelier, ID 83254-1050 | |
| Daniel Christopher Kunz | Optometry | Oregon Trail Eye Care PC | 868 Washington St, Montpelier, ID 83254-1423 |
| Jeffrey P Collins | Optometry | Oregon Trail Eye Care PC | 868 Washington St, Montpelier, ID 83254-1423 |
| Alexander L Scharmann | Physical Therapy | Therapy Works LLC | 152 S 4th St, Montpelier, ID 83254-1538 |
| Trevor D Jacobson | Family Medicine | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Lynn T Dayton | Obstetrics/gynecology | Bear Lake County Memorial Hospital | 467 Washington St, Montpelier, ID 83254-1544 |
| Joseph E Podany | General Surgery | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Alex C Moss | Physician Assistant | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Anya M Anthony | Physician Assistant | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Lance A Hansen | Family Medicine | Bear Lake County Memorial Hospital | 465 Washington St, Montpelier, ID 83254-1544 |
| Find all physicians in zip 83254 | |||
| City | MONTPELIER |
| Zip Code | 83254 |
| Specialty | PSYCHIATRY |
| City + Specialty | MONTPELIER + PSYCHIATRY |
Please comment or provide details below to improve the information on William Howard Hazle.
| 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.