NPIMap

Organization Active NPI

Gerald M Hayward MD PA

  • Specialist
  • Catonsville, MD
National Provider Identifier
1063571370
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D41836 Issued in MD
Legal business name
GERALD M HAYWARD MD PA
Practice address
405 Frederick Rd Ste 210
Catonsville, MD 21228-4647
Phone
(410) 992-4300
Fax
(410) 992-9180
NPI assigned
Dec 6, 2006
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Gerald Meibo Hayward, M.D.NPI 1376601195
Title
Physician
Phone
(410) 992-4300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D41836 MD Primary

Addresses

Primary practice location

405 Frederick Rd Ste 210
Catonsville, MD 21228-4647

Mailing address

PO Box 999
Stevensville, MD 21666-0999
Phone (410) 992-4300

Other identifiers 5

IdentifierTypeStateIssuer
DS1851OtherMDMEDICARE RAILROAD-- (GROUP)
026554500MedicaidDC
P01003968OtherMDMEDICARE RAILROAD-- (INDIVIDUAL)
156961900MedicaidMD
52334207OtherMDMARYLAND BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040121000547 MD Part B Supplier - Clinic/Group Practice 7911809090 Receives reassigned benefits from 1 practitioner
Practice locations: Catonsville, MD; Columbia, MD; Elkridge, MD; Ellicott City, MD; Linthicum, MD; Baltimore, MD
O20151029000715 DC Part B Supplier - Clinic/Group Practice 7911809090 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, MD

National Provider Directory

National Provider Directory

Locations

4801 Dorsey Hall Dr
Ste 205
Ellicott City, MD 21042
Phone (410) 964-6496

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1063571370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216660999",
            "telephone_number": "410-992-4300",
            "fax_number": "410-992-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FREDERICK RD STE 210",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284647",
            "telephone_number": "410-992-4300",
            "fax_number": "410-992-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD M HAYWARD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "MEIBO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-992-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D41836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD-- (GROUP)",
            "identifier": "DS1851",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026554500",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD-- (INDIVIDUAL)",
            "identifier": "P01003968",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156961900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BCBS",
            "identifier": "52334207",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.