Gordon Anthony Hazlette, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024167039 Issued in VA

Practice address

88 MDG/SGHJ
4881 Sugar Maple Dr.
Wright-Patterson AFB, OH 42433

Phone

(937) 257-6529

NPI assigned

Aug 30, 2006

Last updated

Nov 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, OH2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians

Dayton Anesthesia and Pain Services LLCGroup PAC ID 8022245372, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dayton Anesthesia & Pain Services, LLC

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1629401898

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• PHS Anesthesia Billing, LLC

  • Anesthesiology Physician
  • Middletown, OH
  • NPI 1578361044
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Cincinnati, Inc

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1316945173

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Resource Anesthesia Highlands Inc

  • Certified Registered Nurse Anesthetist
  • Hillsboro, OH
  • NPI 1508113903

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Western Ohio Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Beavercreek, OH
  • NPI 1649777699

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gulf Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Gulfport, MS
  • NPI 1548696925

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• ASC Anesthesia, LLC

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1497353510
  NPD (past)
• Virginia Anesthesia and Perioperative Care Specialists LLC

  • Anesthesiology Physician
  • Newport News, VA
  • NPI 1760417281
  NPD (past)

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

• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1790895662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MDG/SGHJ",
            "address_2": "4881 SUGAR MAPLE DR.",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "42433",
            "telephone_number": "937-257-6529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Fisher St",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395342508",
            "country_code": "US",
            "telephone_number": "228-376-6018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZLETTE",
        "first_name": "GORDON",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024167039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle D Harris, DO
• John Michael Hatfield, DO, DC, MPH, MOH
• Barabara Ann Hawk, RPT
• Jeremy Allen Haysley, M.D.
• Gretchen Lyn Haywood, AUD
• Kevin Floyd Heacock, M.D.
• Amber Rose Heller
• Alison Hanna Helmkamp, DO
• Christopher George Herman
• Bryan Hersch, FNP

• Certified Registered Nurse Anesthetist in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.