MARK HAZEN M.D. NPI 1538139779

NPI Information

NPI: 1538139779
Provider Name: MARK HAZEN, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
2209 S STERLING ST
SUITE 600
MORGANTON, NC
ZIP 28655
Phone: (704) 444-4244
Get Directions

Mark Hazen, M.D. is a cardiovascular disease internal medicine in Morganton, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mark Hazen, M.D. NPI is 1538139779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2209 S STERLING ST
SUITE 600
MORGANTON, NC
ZIP 28655-091
Phone: (704) 444-4244
Fax: (704) 347-5261

The enumeration date for this NPI number is 1/23/2006 and was last updated on 5/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	01039253	INDIANA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	2011-00879	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	260690FF	OTHER	INDIANA	MEDICARE
2	5912675	MEDICAID	NORTH CAROLINA
3	NC0199B	MEDICARE PIN	NORTH CAROLINA
4	110070255	OTHER		RAILROAD
5	1538139779	MEDICAID	NORTH CAROLINA
6	Q0087J	MEDICAID	SOUTH CAROLINA
7	P00783721	OTHER	INDIANA	RAILROAD
8	NC0199A	MEDICARE PIN	NORTH CAROLINA
9	100101790	MEDICAID	INDIANA
10	000000087407	OTHER	INDIANA	ANTHEM
11	E82721	MEDICARE UPIN	INDIANA
12	0822604	MEDICAID	OHIO
13	NC0199C	MEDICARE PIN	NORTH CAROLINA
14	058490L	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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