Individual provider Active NPI

Sarah Elizabeth Hazelwood, D.O.

  • Psychiatry Physician
  • Marion, VA
National Provider Identifier
1245403229
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0102202991 Issued in VA
Practice address
340 Bagley Cir
Marion, VA 24354-3126
Phone
(276) 783-1200
NPI assigned
Apr 10, 2008
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 0102202991 VA Primary

Addresses

Primary practice location

340 Bagley Cir
Marion, VA 24354-3126

Mailing address

340 Bagley Cir
Marion, VA 24354-3126

Other names 1

  • Sarah Elizabeth Jarvis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000348 VA Practitioner - Geriatric Psychiatry 4688820376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Ridge Behavioral HealthcareGroup PAC ID 6709831522, 26 clinicians

Practice addresses (Care Compare)

611 McDowell Ave NW
Roanoke, VA 24016-1225
Phone (540) 266-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102202991VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Virginia Mental Health Institute CurrentSince Jul 9, 2012 Accepting new patients
Blue Ridge Behavioral Healthcare CurrentSince Aug 7, 2017 Accepting new patients
Southwestern Virginia Mental Health Institute CurrentSince Jul 9, 2012 Accepting new patients

Locations

340 Bagley Cir
Marion, VA 24354
Phone (276) 783-1200

301 Elm Ave SW
Roanoke, VA 24016
Phone (540) 266-9200

611 McDowell Ave NW
Roanoke, VA 24016
Phone (540) 266-9200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1245403229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543126",
            "telephone_number": "276-783-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102202991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JARVIS",
            "middle_name": "ELIZABETH",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.