Individual provider Active NPI

Alexander Hazelton, EMT 3

  • Emergency Medical Services (Emergency Medicine) Physician
  • Anchorage, AK
National Provider Identifier
1386309409
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
17502649 Issued in AK
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

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
17502649AKMDIntermediate Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Weka Medical CurrentSince Jun 21, 2022 Accepting new patients
Weka LLC CurrentSince Nov 9, 2021 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.

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.

Verify at the official NPI Registry.