Active NPI
Joseph A Haydu Jr., DO
- Vascular Surgery Physician
- Woodstock, VA
National Provider Identifier
1033298526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- OP00001319
- Practice address
- 1555 Fairview Rd
Woodstock, VA 22664-2953 - Phone
- (540) 325-1613
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | C2-0007933 | DE | |
| Vascular Surgery Physician | 2086S0129X | OP00001319 | WA | Primary |
Addresses
Primary practice location
1555 Fairview Rd
Woodstock, VA 22664-2953
Mailing address
1555 Fairview Rd
Woodstock, VA 22664-2953
Phone (540) 325-1613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000039731 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0007933 | DE | MD | Vascular Surgery Physician |
| OP00001319 | WA | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1033298526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 FAIRVIEW RD",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226642953",
"telephone_number": "540-325-1613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 FAIRVIEW RD",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226642953",
"telephone_number": "540-325-1613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDU",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "DE",
"license": "C2-0007933",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WA",
"license": "OP00001319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000039731",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.