Sandra Jo Hazelip, DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

G8171 Issued in TX

Practice address

3101 South 27TH
Abilene, TX 79605

Phone

(325) 695-1289

Fax

(325) 695-1296

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The West Texas Rehabilitation Center

  • Community Based Hospice Care Agency
  • Abilene, TX
  • NPI 1770612608

  Corporate Director

  CMS ownership

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.

• Eastland Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Eastland, TX
  • NPI 1023353752
  NPD (past)
• Eastland Memorial Hospital District

  • General Acute Care Hospital
  • Eastland, TX
  • NPI 1689650921
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1689637209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SOUTH 27TH",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79605",
            "telephone_number": "325-695-1289",
            "fax_number": "325-695-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SOUTH 27TH",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79605",
            "telephone_number": "325-695-1289",
            "fax_number": "325-695-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELIP",
        "first_name": "SANDRA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "G8171",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "G8171",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "G8171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120549406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Hong Hayashi, M.D
• Rachel Nichole Haynes
• William C. Haynes, M.D.
• Kaci K Hayworth
• Corynn M Hazard, M.S., LPC
• Shari A. Hazlett, SLP
• HB Hearing Health Center LLC
• HB Hearing Health Center LLC
• Ashley Shuzhu He Rinicker, PMHNP-BC, APRN
• Teresa Kaye Headstream, F.N.P.

• Geriatric Medicine (Family Medicine) Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.