Active NPI
Alexander Hazelton, EMT 3
- Emergency Medical Services (Emergency Medicine) Physician
- Anchorage, AK
National Provider Identifier
1386309409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 17502649
- Practice address
- 1000 E 36TH Ave
Anchorage, AK 99508-4304 - Phone
- (907) 227-2231
- NPI assigned
- Nov 3, 2021
- 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 |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 17502649 | AK | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 17502649 | AK | Primary |
Addresses
Primary practice location
1000 E 36TH Ave
Anchorage, AK 99508-4304
Mailing address
5630 B St
Anchorage, AK 99518
Phone (907) 441-8559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17502649 | AK | MD | Intermediate Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weka Medical | Current | Accepting new patients | |
| Weka LLC | Current | Accepting new patients |
Locations
1000 E 36th Ave
Anchorage, AK 99508
Phone (907) 227-2231
5630 B St
Anchorage, AK 99518
Phone (907) 441-8559
Organizations & group practices 2
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.
-
- Air Ambulance
- Anchorage, AK
- NPI 1699362673
-
- Land Ambulance
- Anchorage, AK
- NPI 1861122756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1386309409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 B ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99518",
"telephone_number": "907-441-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 36TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084304",
"telephone_number": "907-227-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZELTON",
"first_name": "ALEXANDER",
"credential": "EMT 3",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "AK",
"license": "17502649",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "AK",
"license": "17502649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.