Keith Andrew Hazen, CERTIFIED PEDORTHIST
NPI 1073387452ActiveIndividual· Pedorthist· Manassas, VA
Pedorthist (CERTIFIED PEDORTHIST) in Manassas, Virginia, licensed in VA, with an NPI issued in November 2023.
Overview
| NPI | 1073387452 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CERTIFIED PEDORTHIST |
| Sole proprietor | No |
| NPI issued | Nov 7, 2023 |
| Last updated in NPPES | Nov 7, 2023 |
| Certified by provider | Nov 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pedorthist Primary | 224L00000X | CPED4707 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|