Joe M Hazel MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

91679 Issued in OH

Legal business name

JOE M HAZEL MD

Doing business as

Associated Dermatologists

Practice address

1671 N Limestone St
Springfield, OH 45503-2646

Phone

(937) 399-5911

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joe Michael Hazel, MD

Title

President

Phone

(937) 399-5911

Specialties & licenses 1

Addresses

Other names 1

• Associated Dermatologists Doing business as

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1871859595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032646",
            "telephone_number": "937-399-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032646",
            "telephone_number": "937-399-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE M HAZEL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "HAZEL",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-399-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "91679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Dermatologists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Lynn Jenkins, MA
• Valarie Jenkins
• Christopher Robert Jester, MD
• Angela Dionne Jiles
• Jody C Arnold
• John P Downer, OD, Inc.
• John W Dobson MD Inc
• Andrew Eugene Johnson
• Angela Johnson
• Bonnie Lee Johnson

• Dermatology Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.