Active NPI
William Hazelwood, MD
- Internal Medicine Physician
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6742
- Practice address
- 555 E Cheves St
Florence, SC 29506-2617 - Phone
- (843) 777-2314
- Fax
- (843) 777-5035
- NPI assigned
- Feb 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6742 | SC | Primary |
| Pulmonary Disease Physician | 207RP1001X | 6742 | SC |
Addresses
Primary practice location
555 E Cheves St
Florence, SC 29506-2617
Mailing address
PO Box 100567
Florence, SC 29502-0567
Phone (843) 777-2314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067420 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Medical University of South Carolina College of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7111
4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 390-8100
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- McLeod Health Cheraw
- McLeod Medical Center - Dillon
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6742 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Health Cheraw | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Health Cheraw | Current | Accepting new patients |
Locations
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Internal Medicine
-
- Certified Registered Nurse Anesthetist
- Cheraw, SC
- NPI 1275912974
-
- Rural Health Clinic/Center
- Darlington, SC
- NPI 1003410903
-
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheraw, SC
- NPI 1902283740
-
- General Acute Care Hospital
- Dillon, SC
- NPI 1598746141
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1083687552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100567",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295020567",
"telephone_number": "843-777-2314",
"fax_number": "843-777-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062617",
"telephone_number": "843-777-2314",
"fax_number": "843-777-5035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZELWOOD",
"first_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "6742",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "6742",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067420",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.