Active NPI
Lisa Jennifer Hazard, MD
- Radiation Oncology Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 42470
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465199 | Medicaid | AZ |
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
Enrollment records 1
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
- Peacehealth
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42470 | AZ | MD | Radiation Oncology Physician |
| MD61259566 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Radiation Oncology | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Family Medicine | Current | 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
- 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.
-
dba PeaceHealth Medical Group
- Internal Medicine Physician
- Bellingham, WA
- NPI 1356309553
Family Medicine
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
dba United General Medical Center
- Hospitalist Physician
- Sedro Woolley, WA
- NPI 1548698806
Radiation Oncology
-
- Emergency Medicine Physician
- Friday Harbor, WA
- NPI 1508129842
-
dba PeaceHealth Medical Group
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1265692842
-
- Radiation Oncology Physician
- Salt Lake City, UT
- NPI 1518907831
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
dba Peacehealth Peace Island Medical Center
- Critical Access Hospital
- Friday Harbor, WA
- NPI 1487917233
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.