Individual provider Active NPI

Byron A Haworth, D.O.

  • Pediatrics Physician
  • Cumberland, MD
National Provider Identifier
1184616062
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H50243 Issued in MD
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

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
052890100MedicaidMD
0110279000MedicaidWV
1580845MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000851 MD Practitioner - Pediatric Medicine 1052389566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H50243MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Medical Group, P.a. CurrentSince Dec 12, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

500 Greene St
Cumberland, MD 21502
Phone (301) 724-7616

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.