Hazel Wiley, D.O., P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

OS 10690 Issued in FL

Legal business name

HAZEL WILEY, D.O., P.A.

Practice address

4900 W Oakland Park Blvd
Suite 309
Lauderdale Lakes, FL 33313-7500

Phone

(954) 821-0737

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Hazel Wiley, D.O.NPI 1821208794

Title

Physician

Phone

(954) 821-0737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hazel Wiley, D.O

  • Neurology Physician
  • Lauderdale Lakes, FL
  • NPI 1821208794
  Medicare reassignment NPD Authorized official
• Cindy Hernandez, D.O.

  • Ophthalmology Physician
  • Coral Springs, FL
  • NPI 1407977978
  NPD (past)

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1467774166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9834",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330750834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 W OAKLAND PARK BLVD",
            "address_2": "SUITE 309",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137500",
            "telephone_number": "954-821-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL WILEY, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-821-0737",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS 10690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Harris, BS
• Michelle Kerryann Harvey-Falconer, PTA
• Sahar Hassane
• Shara Alicia Haye Nicaragua
• Angela Hayes, PTA
• Healing Arts Institute of South Florida International Inc.
• Healing Horizons Counseling Center, LLC
• Healthcare Systems of America - Florida, LLC
• Heart 2 Heart Home Healthcare Agency Inc.
• Helping Hands Medical Equipment, LLC

• Neurology Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.