Active NPI
Sandra V Hazra, MD
- Hematology & Oncology Physician
- Wadsworth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35044095
- Practice address
- 5133 Ridge Rd Ste 5
Seidman Cancer Ctr
Wadsworth, OH 44281-8078 - Phone
- (440) 844-3951
- Fax
- (440) 722-8396
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD175021 | OR | |
| Hematology & Oncology Physician | 207RH0003X | 35044095 | OH | Primary |
Addresses
Primary practice location
5133 Ridge Rd Ste 5
Seidman Cancer Ctr
Wadsworth, OH 44281-8078
Mailing address
24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (440) 844-3951
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0423581 | Medicaid | OH | |
| 341660197A | Other | SUMMACARE | |
| 000000134345 | Other | OH | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
139 Garau St
Bluffton, OH 45817-1027
Phone (419) 358-9010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35044095 | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Hematology & Oncology | Current | Accepting new patients |
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Blanchard Valley Regional Health Center | Current | Accepting new patients | |
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients | |
| University Primary Care Practices Inc | Past | Accepting new patients | |
| University Primary Care Practices Inc | Past | Accepting new patients | |
| University Hospitals Regional Practices LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500
15990 Medical Dr S
Findlay, OH 45840
Phone (419) 422-9898
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221
2610 Uhrmann Rd
Klamath Falls, OR 97601
Phone (541) 274-4171
2865 Daggett Ave
Ofc
Klamath Falls, OR 97601
Interoperability endpoints
- shazra18639@directmsg.bmctotalcare.com
- shazra242880@direct.metrohealth.org
- sandrahazra@uhhs.allscriptsdirect.net
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Findlay, OH
- NPI 1699718320
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- Family Medicine Physician
- Findlay, OH
- NPI 1083665251
-
- Rehabilitation Hospital Unit
- Findlay, OH
- NPI 1578336400
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
-
- Community/Retail Pharmacy
- Klamath Falls, OR
- NPI 1003654625
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1336602218
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1154375681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Findlay, OH
- NPI 1710920327
-
- Critical Access Hospital
- Bluffton, OH
- NPI 1831137827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1215972195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "THIRD FLOOR BILLING SERVICES",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "440-844-3951",
"fax_number": "440-722-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5133 RIDGE RD STE 5",
"address_2": "SEIDMAN CANCER CTR",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442818078",
"telephone_number": "440-844-3951",
"fax_number": "440-722-8396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZRA",
"first_name": "SANDRA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OR",
"license": "MD175021",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35044095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0423581",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "341660197A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000134345",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.