Individual provider Active NPI

Heath William Hishon, D.C.

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1750358669
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010100 Issued in IL
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

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
038-010100OtherILSTATE LICENSE
K10873OtherILOTHER MEDICARE IDENTIFIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041012001285 SC Practitioner - Chiropractic 3779543947
I20041013001354 IL Practitioner - Chiropractic 3779543947 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1734SCMDClinical Psychologist
038-010100ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Physical Medicine LLC Chiropractor CurrentSince Aug 25, 2024 Accepting new patients
Greater Peoria Physical Medicine & Rehab Chiropractor CurrentSince Jul 2, 2004 Accepting new patients
Joseph & Hishon Integrated Health Center LTD CurrentSince Nov 2, 2015 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.

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.

Verify at the official NPI Registry.