Active NPI
James R Hayward, D.O.
- Family Medicine Physician
- Logan, OH
National Provider Identifier
1235133091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34002691H
- Practice address
- 819 State Route 664 N
Ste a
Logan, OH 43138-8540 - Phone
- (740) 385-9614
- Fax
- (740) 380-2734
- NPI assigned
- Jun 9, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34002691H | OH | Primary |
Addresses
Primary practice location
819 State Route 664 N
Ste a
Logan, OH 43138-8540
Mailing address
PO Box 228
Logan, OH 43138-0228
Phone (740) 380-8068
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000198892 | Other | OH | UNISON |
| 0365037 | Medicaid | OH | |
| 0100639 | Other | OH | UHC |
| 000000120791 | Other | OH | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002691H | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Hocking Valley Medical Group Transportation | Past | Accepting new patients |
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.
-
- Non-emergency Medical Transport (VAN)
- Logan, OH
- NPI 1417555087
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1235133091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 228",
"city": "LOGAN",
"state": "OH",
"postal_code": "431380228",
"telephone_number": "740-380-8068",
"fax_number": "740-380-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 STATE ROUTE 664 N",
"address_2": "STE A",
"city": "LOGAN",
"state": "OH",
"postal_code": "431388540",
"telephone_number": "740-385-9614",
"fax_number": "740-380-2734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWARD",
"first_name": "JAMES",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34002691H",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000198892",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0365037",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0100639",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000120791",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.