Individual provider Active NPI

Corazon C. Hazlett, M.D.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1619952942
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044154A Issued in IN
Practice address
2925 N Saint Joseph Ave
Suite B
Evansville, IN 47720-1337
Phone
(812) 425-8042
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01044154A IN Primary

Addresses

Primary practice location

2925 N Saint Joseph Ave
Suite B
Evansville, IN 47720-1337

Mailing address

2925 N Saint Joseph Ave
Suite B
Evansville, IN 47720-1337
Phone (812) 425-8042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000034 IN Practitioner - Family Practice 3476706219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2925 N Saint Joseph Ave
Suite B
Evansville, IN 47720-1337
Phone (812) 425-8042

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Evansville, IN, CCN 157703
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01044154AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hazlett Family Health Care, P.C. Family Medicine CurrentSince Dec 22, 2011 Accepting new patients
Family Medicine Associates-Southern Indiana , P.C. Family Medicine Past Accepting new patients

Locations

2925 N Saint Joseph Ave
Evansville, IN 47720
Phone (812) 425-8042

2925 N Saint Joseph Ave
Ste B
Evansville, IN 47720
Phone (812) 425-8042

Interoperability endpoints

  • Direct secure messaging: corazonhazlett@hfhcpc.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1619952942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 N SAINT JOSEPH AVE",
            "address_2": "SUITE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477201337",
            "telephone_number": "812-425-8042",
            "fax_number": "812-425-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 N SAINT JOSEPH AVE",
            "address_2": "SUITE B",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477201337",
            "telephone_number": "812-425-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLETT",
        "first_name": "CORAZON",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044154A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.