Active NPI
Waring M Hazlehurst, MD
- Anesthesiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 16289
- Practice address
- 1265 Union Ave
Memphis, TN 38104-3415 - Phone
- (901) 725-5846
- NPI assigned
- Dec 15, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 16289 | TN | Primary |
Addresses
Primary practice location
1265 Union Ave
Memphis, TN 38104-3415
Mailing address
6060 Primacy Pkwy
Suite 241
Memphis, TN 38119-5745
Phone (901) 725-5846
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09232763 | Medicaid | MS | |
| 202477212 | Medicaid | MO | |
| 90394 | Other | AR | BLUE CROSS BLUE SHIELD |
| 3030306 | Medicaid | TN | |
| 050072455 | Other | RAILROAD MEDICARE | |
| 115269001 | Medicaid | AR | |
| 2611693 | Other | CIGNA | |
| 3080535 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Tennessee, HSC, College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.75 of 100
- Quality
- 83.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Anesthesia Group, PA | Anesthesiology | Current | Accepting new patients |
Locations
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
1363 S Germantown Rd
Memphis, TN 38138
Phone (901) 516-6000
1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362
6060 E Primacy Pkwy
Ste 241
Memphis, TN 38119
Phone (901) 725-5846
Interoperability endpoints
- whazlehurst34934@mlh.direct-ci.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1932185600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6060 PRIMACY PKWY",
"address_2": "SUITE 241",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195745",
"telephone_number": "901-725-5846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043415",
"telephone_number": "901-725-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZLEHURST",
"first_name": "WARING",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "16289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09232763",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202477212",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "90394",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3030306",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050072455",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115269001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2611693",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3080535",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.