Justin C Hazen (NPI# 1114363603, PAC ID# 8628212057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114363603 |
| PAC ID by PECOS | 8628212057 |
| Professional Enrollment ID | I20130924000891 |
| Full Name | Justin C Hazen |
| Organization Legal Name | WHITE MOUNTAIN EMERGENCY PHYSICIANS PC |
| Address |
2200 E Show Low Lake Rd Show Low AZ 85901-7831 |
| Phone Number | 9285376371 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830098664 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030062 | SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 9285376371 | WHITE MOUNTAIN EMERGENCY PHYSICIANS PC |
| Organization Legal Name | WHITE MOUNTAIN EMERGENCY PHYSICIANS PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis J Jones | Physician Assistant | White Mountain Emergency Physicians PC | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Scott B Sherwood | Physician Assistant | White Mountain Emergency Physicians PC | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Street Address |
2200 E SHOW LOW LAKE RD |
| City | SHOW LOW |
| State | AZ |
| Zip | 85901-7831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig White | Certified Registered Nurse Anesthetist (crna) | Northeastern Anesthesia Pllc | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| John M Carey | Diagnostic Radiology | White Mountain Radiology | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Muhib Alattar | Internal Medicine | Hospitalist Medicine Healthcare LLC | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Eric V Olson | Physician Assistant | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Jared Lee | Certified Registered Nurse Anesthetist (crna) | Northeastern Anesthesia Pllc | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Brandi L Didominick | Physician Assistant | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Philip Johnson | Family Medicine | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Melissa A Green | Certified Registered Nurse Anesthetist (crna) | Northeastern Anesthesia Pllc | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Aaron C Bornstein | Family Medicine | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Yen Hui Huang | Cardiovascular Disease (cardiology) | Summit Healthcare Association | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois R Speelman | Nurse Practitioner | Your Family Practice Team PC | 2051 Evergreen Lane D, Show Low, AZ 85901 |
| Jeffrey R Moore | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Heather John | Qualified Audiologist | Audiology, Inc. | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 |
| Victoria Karim | Audiologist | 2600 S White Mountain Rd, Show Low, AZ 85901-0511 | |
| Salvacion Powell | Nurse Practitioner | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Melissa M Starkel | Clinical Social Worker | 580 E Old Linden Rd, Suite 6, Show Low, AZ 85901-4817 | |
| Derek L Ringers | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Michael E Brown | Family Practice | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| Gary D Parker | Physician Assistant | Statclinix Plc | 680 E Duece of Clubs B, Show Low, AZ 85901-4829 |
| William K Horne | Chiropractic | 708 E Deuce of Clubs Ave, Show Low, AZ 85901-4926 | |
| Find all physicians in zip 85901 | |||
| City | SHOW LOW |
| Zip Code | 85901 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SHOW LOW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Justin C Hazen.
| 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.