Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Roger A Hazard, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1316915358

Mr. Roger A Hazard, PHYSICIANASSISTANT is a Physician Assistant in Mt Pleasant, South Carolina. Qualified in 2011, 15 years ago. Practices with Elite Healthcare Physical Medicine LLC, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2006
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Practice location Address checks out

1300 Hospital Dr Ste 220
Mt Pleasant, SC 29464-3208
Phone: (843) 936-6238
Fax: (843) 936-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1316915358
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Elite Healthcare Physical Medicine Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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