NPIMap

Organization Active NPI

Joseph Hazan Inc.

  • Obstetrics & Gynecology Physician
  • Saint Peters, MO
National Provider Identifier
1922248483
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35321 Issued in MO
Legal business name
JOSEPH HAZAN INC.
Practice address
4200 North Cloverleaf Drive
Suite H
St. Peters, MO 63376
Phone
(636) 928-1800
Fax
(636) 928-2226
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Mrs. Kathy Lynn Hazan
Title
Administrator
Phone
(636) 928-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 35321 MO Primary

Addresses

Primary practice location

4200 North Cloverleaf Drive
Suite H
St. Peters, MO 63376

Mailing address

4200 North Cloverleaf Drive
Suite H
St. Peters, MO 63376
Phone (636) 928-1800

Other identifiers 1

IdentifierTypeStateIssuer
200646727MedicaidMO

Other names 1

  • Joseph Hazan, M.D. Other name

National Provider Directory

National Provider Directory

Locations

4200 N Cloverleaf Dr
Ste H
Saint Peters, MO 63376
Phone (636) 928-1800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1922248483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NORTH CLOVERLEAF DRIVE",
            "address_2": "SUITE H",
            "city": "ST. PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-928-1800",
            "fax_number": "636-928-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NORTH CLOVERLEAF DRIVE",
            "address_2": "SUITE H",
            "city": "ST. PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-928-1800",
            "fax_number": "636-928-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH HAZAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "HAZAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-928-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "35321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200646727",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph Hazan, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.