Active NPI
Scott Hazelwood, DO
- Pediatrics Physician
- Richmond, KY
National Provider Identifier
1760609192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 03083
- Practice address
- 793 Eastern Byp
Suite 110
Richmond, KY 40475-2422 - Phone
- (888) 732-4293
- Fax
- (859) 623-7362
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 03083 | KY | Primary |
Addresses
Primary practice location
793 Eastern Byp
Suite 110
Richmond, KY 40475-2422
Mailing address
793 Eastern Bypass
Suite 110
Richmond, KY 40475
Phone (859) 624-2020
Other practice location 1
801 Eastern Byp
Richmond, KY 40475-2751
Phone (888) 732-4293
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03083 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Healthcare System, Inc. | Past | Accepting new patients | |
| Madison Pediatric Assoc | Pediatrics | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Richmond, KY
- NPI 1568452290
-
- Pediatrics Physician
- Richmond, KY
- NPI 1508923715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1760609192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 EASTERN BYPASS",
"address_2": "SUITE 110",
"city": "RICHMOND",
"state": "KY",
"postal_code": "40475",
"telephone_number": "859-624-2020",
"fax_number": "859-623-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 EASTERN BYP",
"address_2": "SUITE 110",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752422",
"telephone_number": "888-732-4293",
"fax_number": "859-623-7362"
}
],
"practiceLocations": [
{
"address_1": "801 Eastern Byp",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404752751",
"country_code": "US",
"telephone_number": "888-732-4293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAZELWOOD",
"first_name": "SCOTT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "03083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.