Organization Active NPI

Walter W. Hayes, D.P.M., P.a.

  • Foot & Ankle Surgery Podiatrist
  • Jonesboro, AR
National Provider Identifier
1013940394
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
216 Issued in AR
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

Updated by the provider on May 6, 2013

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

Authorized official

Name
Dr. Walter Wadsworth Hayes, DPMNPI 1346246352
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 216 AR
Sports Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0000X 216 AR
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DG6938OtherARRAILROAD GROUP
162673748MedicaidAR
5F693OtherARBCBS GROUP

Other names 1

  • Family Foot & Ankle Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070222000329 AR Part B Supplier - Clinic/Group Practice 2769584796 Receives reassigned benefits from 1 practitioner
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.