Hazel L Joseph, MD, PHD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

38878 Issued in KY

Practice address

611 W Poplar St
Elizabethtown, KY 42701-2431

Phone

(270) 704-3599

NPI assigned

May 4, 2006

Last updated

Apr 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crittenden County Tomorrow Inc

  dba Crittenden County Counseling

  • Counselor
  • Marion, KY
  • NPI 1205291002
  Authorized official Same address or phone
• Kentucky Surgical & Wound Services PSC

  • Surgery Physician
  • Marion, KY
  • NPI 1518113794
  Authorized official Same address or phone

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1760430888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427020757",
            "telephone_number": "270-704-3599",
            "fax_number": "270-731-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W POPLAR ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012431",
            "telephone_number": "270-704-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "HAZEL",
        "middle_name": "L",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "38878",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "38878",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "38878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NUMBER",
            "identifier": "00731001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Jordan
• Morgan Faith Jordan, RN
• Anjalise Jorgens, PA-C
• Joseph B Oropilla, M.D., PSC
• Joseph Prather II PSC
• Chelsea Judd
• Mary Joann Jury
• Navin R Kaini, MD
• Tim R Kaiser, RPH
• Kalon Health

• General Practice Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• General Practice Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.