Active NPI
Phillip D Hajek, MD
- Orthopaedic Surgery Physician
- Albany, GA
National Provider Identifier
1003886136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35890
- Practice address
- 2311 Lake Park Dr
Albany, GA 31707-3183 - Phone
- (229) 435-0525
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35890 | GA | Primary |
Addresses
Primary practice location
2311 Lake Park Dr
Albany, GA 31707-3183
Mailing address
PO Box 71367
Albany, GA 31708-1367
Phone (229) 435-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35890 | Other | GA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35890 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Plaza ASC LLC | Current | Accepting new patients | |
| Albany Bone & Joint Clinic PC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2311 Lake Park Dr
Albany, GA 31707
Phone (229) 435-0525
Interoperability endpoints
- phillip.hajek@msa1.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/27067/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Albany, GA
- NPI 1528196888
-
- Orthopaedic Surgery Physician
- Albany, GA
- NPI 1295709178
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1003886136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71367",
"city": "ALBANY",
"state": "GA",
"postal_code": "317081367",
"telephone_number": "229-435-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 LAKE PARK DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317073183",
"telephone_number": "229-435-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJEK",
"first_name": "PHILLIP",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "35890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "35890",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.