Individual provider Active NPI

Jeffrey Hayward, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1003218389
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60591852 Issued in WA
Practice address
5921 N Market St
Spokane, WA 99208-2484
Phone
(509) 444-8200
NPI assigned
Sep 18, 2014
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60591852 WA Primary

Addresses

Primary practice location

5921 N Market St
Spokane, WA 99208-2484

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104001951 WA Practitioner - Physician Assistant 0244540110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 W 2ND Ave
Spokane, WA 99201-4503
Phone (509) 835-1206

15812 E Indiana Ave
Suite 200
Spokane Valley, WA 99216-1875
Phone (509) 444-8200

5921 N Market St
Spokane, WA 99208-2484
Phone (509) 487-1604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Oct 20, 2015 Accepting new patients
Community Health Association of Spokane CurrentSince Oct 20, 2015 Accepting new patients

Locations

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

203 N Washington St
Ste 300
Spokane, WA 99201

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604

611 N Iron Bridge Way
Spokane, WA 99202

15812 E Indiana Ave
Ste 101
Spokane Valley, WA 99216

Interoperability endpoints

  • Direct secure messaging: jeffrey.hayward.1@11411.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1003218389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N IRON BRIDGE WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024932",
            "telephone_number": "509-444-8888",
            "fax_number": "509-444-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 N MARKET ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992082484",
            "telephone_number": "509-444-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "JEFFREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-18",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60591852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.