Organization Active NPI

Hazlett Family Health Care, P.C.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1225013576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044154A Issued in IN
Legal business name
HAZLETT FAMILY HEALTH CARE, P.C.
Practice address
2925 N Saint Joseph Ave
Suite B
Evansville, IN 47720-1337
Phone
(812) 425-8042
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Corazon C. Hazlett, M.D.NPI 1619952942
Title
Owner
Phone
(812) 425-8042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01044154A IN Primary

Addresses

Primary practice location

2925 N Saint Joseph Ave
Suite B
Evansville, IN 47720-1337

Mailing address

2925 N Saint Joseph Ave
Suite B
Evansville, IN 47720-1337
Phone (812) 425-8042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130104000018 IN Part B Supplier - Clinic/Group Practice 2567615305 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Locations

2925 N Saint Joseph Ave
Ste B
Evansville, IN 47720
Phone (812) 425-8042

2925 N Saint Joseph Ave
Evansville, IN 47720
Phone (812) 425-8042

Interoperability endpoints

  • Direct secure messaging: corazonhazlett@hfhcpc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225013576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 N SAINT JOSEPH AVE",
            "address_2": "SUITE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477201337",
            "telephone_number": "812-425-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 N SAINT JOSEPH AVE",
            "address_2": "SUITE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477201337",
            "telephone_number": "812-425-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLETT FAMILY HEALTH CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAZLETT",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-425-8042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044154A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.