Active NPI
Walter W. Hayes, D.P.M., P.a.
- Foot & Ankle Surgery Podiatrist
- Jonesboro, AR
National Provider Identifier
1013940394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 216
- Legal business name
- WALTER W. HAYES, D.P.M., P.A.
- Practice address
- 1000 Windover
Suite a
Jonesboro, AR 72401 - Phone
- (870) 934-8200
- Fax
- (870) 934-8219
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walter Wadsworth Hayes, DPM
- Title
- President
- Phone
- (870) 934-8200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 216 | AR | |
| Sports Medicine Podiatrist | 213ES0000X | 216 | AR | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 216 | AR | Primary |
Addresses
Primary practice location
1000 Windover
Suite a
Jonesboro, AR 72401
Mailing address
PO Box 16712
Jonesboro, AR 72403-6711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG6938 | Other | AR | RAILROAD GROUP |
| 162673748 | Medicaid | AR | |
| 5F693 | Other | AR | BCBS GROUP |
Other names 1
- Family Foot & Ankle Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1000 Windover Rd
Ste A
Jonesboro, AR 72401
Phone (870) 934-8200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Jonesboro, AR
- NPI 1346246352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367798400000",
"number": "1013940394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16712",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724036711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WINDOVER",
"address_2": "SUITE A",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-934-8200",
"fax_number": "870-934-8219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALTER W. HAYES, D.P.M., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2013-05-06",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "WADSWORTH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-934-8200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "AR",
"license": "216",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Sports Medicine",
"state": "AR",
"license": "216",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AR",
"license": "216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP",
"identifier": "DG6938",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162673748",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "5F693",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Foot & Ankle Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.