Active NPI
Heath William Hishon, D.C.
- Chiropractor
- Peoria, IL
National Provider Identifier
1750358669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010100
- Practice address
- 5001 N University St
Suite a
Peoria, IL 61614-4799 - Phone
- (309) 693-2225
- Fax
- (309) 693-2228
- NPI assigned
- Mar 1, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-010100 | IL | Primary |
Addresses
Primary practice location
5001 N University St
Suite a
Peoria, IL 61614-4799
Mailing address
5001 N University St
Suite a
Peoria, IL 61614-4799
Phone (309) 693-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038-010100 | Other | IL | STATE LICENSE |
| K10873 | Other | IL | OTHER MEDICARE IDENTIFIER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1835 Savage Rd
Charleston, SC 29407-4726
Phone (843) 763-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1734 | SC | MD | Clinical Psychologist |
| 038-010100 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Physical Medicine LLC | Chiropractor | Current | Accepting new patients |
| Greater Peoria Physical Medicine & Rehab | Chiropractor | Current | Accepting new patients |
| Joseph & Hishon Integrated Health Center LTD | Current | Accepting new patients |
Locations
5001 N University St
Ste A
Peoria, IL 61614
Phone (309) 683-3072
1835 Savage Rd
Charleston, SC 29407
Phone (843) 763-2225
Organizations & group practices 3
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.
-
- Chiropractor
- Peoria, IL
- NPI 1861618829
-
- Sports Medicine (Family Medicine) Physician
- Peoria, IL
- NPI 1851776025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1750358669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 N UNIVERSITY ST",
"address_2": "SUITE A",
"city": "PEORIA",
"state": "IL",
"postal_code": "616144799",
"telephone_number": "309-693-2225",
"fax_number": "309-693-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 N UNIVERSITY ST",
"address_2": "SUITE A",
"city": "PEORIA",
"state": "IL",
"postal_code": "616144799",
"telephone_number": "309-693-2225",
"fax_number": "309-693-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISHON",
"first_name": "HEATH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "038-010100",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER MEDICARE IDENTIFIER",
"identifier": "K10873",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.