Active NPI
Byron A Haworth, D.O.
- Pediatrics Physician
- Cumberland, MD
National Provider Identifier
1184616062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- H50243
- Practice address
- 500 Greene St
Cumberland, MD 21502-2755 - Phone
- (301) 724-7616
- Fax
- (301) 724-4811
- NPI assigned
- Aug 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H50243 | MD | Primary |
Addresses
Primary practice location
500 Greene St
Cumberland, MD 21502-2755
Mailing address
500 Greene St
Cumberland, MD 21502-2755
Phone (301) 724-7616
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052890100 | Medicaid | MD | |
| 0110279000 | Medicaid | WV | |
| 1580845 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H50243 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Medical Group, P.a. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
500 Greene St
Cumberland, MD 21502
Phone (301) 724-7616
Interoperability endpoints
- byronhaworthdo@childrensm.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Specialist
- Cumberland, MD
- NPI 1528165750
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1184616062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GREENE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022755",
"telephone_number": "301-724-7616",
"fax_number": "301-724-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GREENE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022755",
"telephone_number": "301-724-7616",
"fax_number": "301-724-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWORTH",
"first_name": "BYRON",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "H50243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052890100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110279000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1580845",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.