Individual provider Active NPI

Lisa Jennifer Hazard, MD

  • Radiation Oncology Physician
  • Tucson, AZ
National Provider Identifier
1477633386
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
42470 Issued in AZ
Practice address
6567 E Carondelet Dr Ste 185
Tucson, AZ 85710-6161
Phone
(520) 546-1778
Fax
(520) 546-3125
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD61259566 WA
Radiological Physics Physician 2085R0205X 48730081205 UT
Radiation Oncology Physician 2085R0001X 42470 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr Ste 185
Tucson, AZ 85710-6161

Mailing address

1760 E River Rd Ste 350
Tucson, AZ 85718-5999
Phone (520) 519-7700

Other practice location 1

2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 856-7588

Other practice location 2

3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone (360) 788-8222

Other identifiers 1

IdentifierTypeStateIssuer
465199MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220412000562 WA Practitioner - Radiation Oncology 7416930409 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
State University of New York at Buffalo School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 6103056288, shared by 4 NPIs, 2 clinicians
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 856-6021

3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone (360) 788-8222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42470AZMDRadiation Oncology Physician
MD61259566WAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Radiation Oncology CurrentSince Apr 11, 2022 Accepting new patients
Peacehealth CurrentSince Apr 11, 2022 Accepting new patients
Peacehealth CurrentSince Dec 5, 2025 Accepting new patients
Peacehealth Family Medicine CurrentSince Apr 11, 2022 Accepting new patients
University Radiation Oncologists Radiation Oncology Past Accepting new patients

Locations

3301 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 788-8222

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: lhazard550472@direct.peacehealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1477633386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E RIVER RD STE 350",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185999",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR STE 185",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106161",
            "telephone_number": "520-546-1778",
            "fax_number": "520-546-3125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982844327",
            "country_code": "US",
            "telephone_number": "360-856-7588",
            "fax_number": "360-856-7252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251919",
            "country_code": "US",
            "telephone_number": "360-788-8222",
            "fax_number": "360-788-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZARD",
        "first_name": "LISA",
        "middle_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD61259566",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "UT",
            "license": "48730081205",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "42470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465199",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.