Individual provider Active NPI

Josefina L Hizon, MD

  • Psychiatry Physician
  • Coralville, IA
National Provider Identifier
1356425540
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18517 Issued in IA
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

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30617OtherIAMEDICARE GROUP PTAN
I16520OtherIAMEDICARE 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

OrganizationSpecialtyStatusNew patients
Southern Iowa Mental Health Center PastSince Sep 29, 2024 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Psychiatry Lee and Associates PC Psychiatry PastSince Dec 3, 1992 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.

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.

Verify at the official NPI Registry.