MICHAEL QUENTIN HAZELWOOD MSA
NPI 1942009196
Specialist/Technologist, Other - Surgical Assistant in South Boston, VA

Q: What is Michael Hazelwood's NPI number?

The NPI number for Michael Hazelwood is 1942009196. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Q: What is Michael Hazelwood's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Michael Hazelwood was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 11, 2025

2204 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3100 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2025, Mar 11, 2025 (2 updates tracked since 2025).

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About Michael Quentin Hazelwood Msa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL QUENTIN HAZELWOOD MSA (NPI 1942009196) is an individual surgical assistant in South Boston, Virginia, licensed in Virginia (0136000590) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1942009196

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameMICHAEL QUENTIN HAZELWOODCredential: MSA

Location Address2204 WILBORN AVESouth Boston, VA 24592-1645

Mailing Address1113 Slayton RdSutherlin, VA 24594-3121 · (434) 334-4211

Phone(434) 517-3100

Sole ProprietorNo

Enumeration DateMarch 11, 2025

Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1942009196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in VA · 0136000590

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

2204 WILBORN AVE, South Boston, VA 24592

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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