Active NPI
Joe Michael Hazel, MD
- Dermatology Physician
- Springfield, OH
National Provider Identifier
1366426744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35030442
- Practice address
- 1671 N Limestone St
Springfield, OH 45503 - Phone
- (937) 399-5911
- Fax
- (937) 399-1360
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35030442 | OH | Primary |
Addresses
Primary practice location
1671 N Limestone St
Springfield, OH 45503
Mailing address
1671 N Limestone St
Springfield, OH 45503
Phone (937) 399-5911
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1366426744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 N LIMESTONE ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45503",
"telephone_number": "937-399-5911",
"fax_number": "937-399-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1671 N LIMESTONE ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45503",
"telephone_number": "937-399-5911",
"fax_number": "937-399-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEL",
"first_name": "JOE",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OH",
"license": "35030442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.