Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joe Marie Jose Dizon, MD

Individual provider Internal Medicine Physician · NPI 1053627869

Joe Marie Jose Dizon, MD is an Internal Medicine in Baton Rouge, Louisiana. Qualified in 2006, 20 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana and Michigan.

Years since qualifying
20
Licensed in
LA, MI
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone: (225) 765-4050
Fax: (225) 765-4046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 206398 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301096030 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 206398 (LA)

Record details

NPI number1053627869
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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