Jonathan C Hitzman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD20516 Issued in OR

Practice address

1600 SE Court PL
Suite 201
Pendleton, OR 97801-3281

Phone

(541) 276-1700

Fax

(541) 276-6327

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Umatilla County Nurse Family Partnership

  • Case Management Agency
  • Pendleton, OR
  • NPI 1790509958
  NPD

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1497741656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SE COURT PL",
            "address_2": "SUITE 201",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013281",
            "telephone_number": "541-276-1700",
            "fax_number": "541-276-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SE COURT PL",
            "address_2": "SUITE 201",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013281",
            "telephone_number": "541-276-1700",
            "fax_number": "541-276-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITZMAN",
        "first_name": "JONATHAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD20516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150643",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Louise Hiatt, QMHA
• Carley Rae Hibbert, QMHP
• Melissa Ann Hilding, QMHA
• Dena Hill
• June S Hills
• Shayler Hoffman
• Jessica Ann Holben, RN
• Rex Holcomb
• Marie Hollibaugh
• Lindsay Renee Holmes, MSW

• Family Medicine Physician in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.