Lyon Tige Hazleton, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024166905 Issued in VA

Practice address

2951 Front St
Suite 3050
Richlands, VA 24641-2055

Phone

(276) 963-8504

Fax

(276) 963-6642

NPI assigned

Aug 31, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CHI Health Clinic Physician Enterprise-Anesthesia LLCGroup PAC ID 2264794569, 224 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CHI Health Clinic Physician Enterprise-Anesthesia LLC

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1356858419

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Group of Grand Island PC

  • Pain Medicine (Anesthesiology) Physician
  • Grand Island, NE
  • NPI 1346216793
  Medicare reassignment
• Southwest Anesthesia, PC

  • Anesthesiology Physician
  • Richlands, VA
  • NPI 1760592323
  NPD (past)
• CHI Health Clinic Physician Enterprise-Anesthesia LLC

  • Anesthesiology Physician
  • Council Bluffs, IA
  • NPI 1639687114

  Nurse Anesthetist, Certified Registered

  NPD (past)
• MMC of Nevada LLC

  dba Mesa View Regional Hospital

  • Registered Dietitian
  • Mesquite, NV
  • NPI 1851346019

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Francis Medical Center

  dba CHI Health St. Francis

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1982675955
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194836296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 WEST FRONT STREET",
            "address_2": "SUITE 3050",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-963-8504",
            "fax_number": "276-963-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 FRONT ST",
            "address_2": "SUITE 3050",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412055",
            "telephone_number": "276-963-8504",
            "fax_number": "276-963-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLETON",
        "first_name": "LYON",
        "middle_name": "TIGE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "194170",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00318799",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38100005818",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Glenn A Harrison, DDS
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• Healing Waters Counseling Center
• Tina Lucille Henderson, PMHNP-BC
• Hill Creek Assisted Living LLC
• Kenneth Forbes Hill, M.D.
• Home Nursing Care, Inc (Community Home Care Services)

• Certified Registered Nurse Anesthetist in Richlands, VA
• Providers in Richlands, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.