Individual provider Active NPI

Phillip D Hajek, MD

  • Orthopaedic Surgery Physician
  • Albany, GA
National Provider Identifier
1003886136
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35890 Issued in GA
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

Updated by the provider on Feb 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
35890OtherGALICENSE 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

LicenseStateTypeSpecialty
35890GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: phillip.hajek@msa1.eclinicaldirectplus.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.