Individual provider Active NPI

Howard Patterson Hezmall, MD

  • Urology Physician
  • Steamboat Springs, CO
National Provider Identifier
1134115652
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
45214 Issued in CO
Practice address
501 Anglers Dr Ste 202
Steamboat Springs, CO 80487-8841
Phone
(970) 871-9710
Fax
(970) 871-9709
NPI assigned
Sep 20, 2005
Last updated
Feb 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X F1642 TX
Urology Physician 208800000X 45214 CO Primary

Addresses

Primary practice location

501 Anglers Dr Ste 202
Steamboat Springs, CO 80487-8841

Mailing address

501 Anglers Dr Ste 202
Steamboat Springs, CO 80487-8841
Phone (970) 871-9710

Other identifiers 2

IdentifierTypeStateIssuer
042790801MedicaidTX
135373207MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45214COMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC Past Accepting new patients
Urology Associates of North Texas LLP Urology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1134115652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ANGLERS DR STE 202",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878841",
            "telephone_number": "970-871-9710",
            "fax_number": "970-871-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ANGLERS DR STE 202",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878841",
            "telephone_number": "970-871-9710",
            "fax_number": "970-871-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEZMALL",
        "first_name": "HOWARD",
        "middle_name": "PATTERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "F1642",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "45214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042790801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135373207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.