TIMOTHY H IZANT M.D.
NPI 1992761043
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in De Witt, NY

Q: What is Timothy Izant's NPI number?

The NPI number for Timothy Izant is 1992761043. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Timothy Izant's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Izant was last updated on April 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 25, 2006PECOS Enrolled

5719 WIDEWATERS PKWY, DE WITT, NY 13214(315) 251-3100(315) 449-9923 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Timothy H Izant M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY H IZANT M.D. (NPI 1992761043) is an individual adult reconstructive orthopaedic surgery provider in De Witt, New York, licensed in New York (177226) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992761043

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameTIMOTHY H IZANTCredential: M.D.

Location Address5719 WIDEWATERS PKWYDe Witt, NY 13214-1880

Mailing Address5719 Widewaters PkwySyracuse, NY 13214-1880 · (315) 251-3100 · Fax (315) 449-9923

Phone(315) 251-3100

Fax(315) 449-9923

Sole ProprietorNo

Enumeration DateApril 25, 2006

Last NPPES UpdateApril 6, 2018

✔ NPI 1992761043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in NY · 177226

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 177226 (NY)

5719 WIDEWATERS PKWY, De Witt, NY 13214

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy H Izant M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE HARTENSTEIN P.T.

Physical Therapist

5719 WIDEWATERS PKWY
DE WITT, NY 13214

Onondaga County (315) 449-1301

MATTHEW D HOOD P.A.

Physician Assistant (Surgical)