Active NPI
Janice C Hitzhusen, M.D.
- Internal Medicine Physician
- Worcester, MA
National Provider Identifier
1558447151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA46700
- Practice address
- 200 Lincoln St
Suite 4
Worcester, MA 01605-2528 - Phone
- (508) 756-0111
- Fax
- (508) 756-0222
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA46700 | MA | Primary |
Addresses
Primary practice location
200 Lincoln St
Suite 4
Worcester, MA 01605-2528
Mailing address
200 Lincoln St
Suite 4
Worcester, MA 01605-2528
Phone (508) 756-0111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352070 | Other | MA | CIGNA |
| 2093898 | Medicaid | MA | |
| J02195 | Other | MA | BLUE CROSS |
| 64643 | Other | MA | HARVARD PILGRIM |
| 714039 | Other | MA | TUFTS |
| 18097 | Other | MA | FALLON |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA46700 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1558447151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 LINCOLN ST",
"address_2": "SUITE 4",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052528",
"telephone_number": "508-756-0111",
"fax_number": "508-756-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LINCOLN ST",
"address_2": "SUITE 4",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052528",
"telephone_number": "508-756-0111",
"fax_number": "508-756-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITZHUSEN",
"first_name": "JANICE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "MA46700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "352070",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2093898",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J02195",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "64643",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "714039",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "18097",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.