Active NPI
Josefina L Hizon, MD
- Psychiatry Physician
- Coralville, IA
National Provider Identifier
1356425540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18517
- Practice address
- 2700 Coral Ridge Avenue
Iowa Medical and Classification Center
Coralville, IA 52241 - Phone
- (319) 626-2391
- Fax
- (319) 665-6721
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18517 | IA | Primary |
Addresses
Primary practice location
2700 Coral Ridge Avenue
Iowa Medical and Classification Center
Coralville, IA 52241
Mailing address
2700 Coral Ridge Avenue
Imcc
Coralville, IA 52241
Phone (319) 626-2391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30617 | Other | IA | MEDICARE GROUP PTAN |
| I16520 | Other | IA | MEDICARE PTAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Iowa Mental Health Center | Past | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients | |
| Psychiatry Lee and Associates PC | Psychiatry | Past | Accepting new patients |
| Iowa Medical & Classification Center | Past | Accepting new patients | |
| Nurse in the House, Inc. | Past | Accepting new patients | |
| Optimae Lifeservices, Inc, | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prison Health Clinic/Center
- Coralville, IA
- NPI 1326448846
-
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
-
- Community/Behavioral Health Agency
- Fairfield, IA
- NPI 1174520084
-
- Psychiatry Physician
- Fort Dodge, IA
- NPI 1891756912
-
- Community/Behavioral Health Agency
- Ottumwa, IA
- NPI 1457178428
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1356425540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 CORAL RIDGE AVENUE",
"address_2": "IMCC",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "52241",
"telephone_number": "319-626-2391",
"fax_number": "319-665-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 CORAL RIDGE AVENUE",
"address_2": "IOWA MEDICAL AND CLASSIFICATION CENTER",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "52241",
"telephone_number": "319-626-2391",
"fax_number": "319-665-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIZON",
"first_name": "JOSEFINA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "18517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "30617",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "I16520",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.