Lisa Marie Hatzos, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10943 Issued in NH

Practice address

127 Rockingham Road
Suite 103 Elliot Peak Internal Medicine at Windham
Windham, NH 03087

Phone

(603) 890-0266

Fax

(603) 890-0267

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lisa M Gazzara-Hatzos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Peak Internal Medicine Assoc PLLC

  • Internal Medicine Physician
  • Windham, NH
  • NPI 1275616500
  NPD (past) Authorized official
• Elliot Physicians Network

  • Family Medicine Physician
  • Manchester, NH
  • NPI 1831191659

  Internal Medicine

  NPD (past)
• Parkland Physician Services, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Derry, NH
  • NPI 1144388737
  NPD (past)
• Skilled Medical Provider Group PLLC

  • Internal Medicine Physician
  • Durham, NH
  • NPI 1386952844
  NPD (past)
• Ipc Hospitalists of New England, P.C.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1659555266
  NPD (past)
• Woburn Medical Associates PC

  • Internal Medicine Physician
  • Woburn, MA
  • NPI 1104813476
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1013079862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROCKINGHAM ROAD",
            "address_2": "SUITE 103 ELLIOT PEAK INTERNAL MEDICINE AT WINDHAM",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "03087",
            "telephone_number": "603-890-0266",
            "fax_number": "603-890-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ROCKINGHAM ROAD",
            "address_2": "SUITE 103 ELLIOT PEAK INTERNAL MEDICINE AT WINDHAM",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "03087",
            "telephone_number": "603-890-0266",
            "fax_number": "603-890-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATZOS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "NH10943",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "10943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30212498",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GAZZARA-HATZOS",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Chauncey Haas, RPH
• Claire Haggerty-Woodard
• Amanda Hallinan, D.M.D.
• Jocelyn Hampoian
• Jamie Harrington
• Kailee Huston
• Independence Therapy Associates
• Amy Elizabeth Izzett, BA
• Nicole James
• Dianne Jezak, OTR/L

• Internal Medicine Physician in Windham, NH
• Providers in Windham, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.