Andrew J Hazley

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD0000013211 Issued in TN

Practice address

1009 N Highland Ave
Murfreesboro, TN 37130-2450

Phone

(615) 895-3890

Fax

(615) 895-0941

NPI assigned

May 20, 2006

Last updated

Apr 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Murfreesboro Surgical Associates

  • Surgery Physician
  • Murfreesboro, TN
  • NPI 1720287121
  Medicare reassignment NPD Authorized official
• Stones River Surgical Group PLLC

  • Surgery Physician
  • Murfreesboro, TN
  • NPI 1164761185
  NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1285688457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N HIGHLAND AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302450",
            "telephone_number": "615-895-3890",
            "fax_number": "615-895-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N HIGHLAND AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302450",
            "telephone_number": "615-895-3890",
            "fax_number": "615-895-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLEY",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000013211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3715782",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Haynes, RD
• Tina G. Haynes, MT-BC, LCAT
• Alexandra R Hays, COTA/L
• Casey Haywood, PT
• Asia Hazelwood
• Malik Jon Hazley, MD
• Healing Hands Chiropractic LLC
• Health4Life Chiropractic, Inc
• Healthlinktransport.LLC
• Healthy Habits

• Surgery Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.