Individual provider Active NPI

Morris Tyrone Haywood, DPM

  • Podiatrist
  • Cleveland, OH
National Provider Identifier
1316945884
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3395 Issued in OH
Practice address
4415 Euclid Ave
#110
Cleveland, OH 44103
Phone
(216) 231-5612
NPI assigned
Jul 8, 2005
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 3395 OH Primary

Addresses

Primary practice location

4415 Euclid Ave
#110
Cleveland, OH 44103

Mailing address

3882 Tyndall Rd
University Heights, OH 44118-4724
Phone (216) 371-9999

Other identifiers 2

IdentifierTypeStateIssuer
P00167648OtherOHRR MEDICARE
CH5179OtherOHRR MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000073 OH Practitioner - Podiatry 0941296719 Reassigns benefits to 2 organizations
Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3395OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Dec 14, 2015 Accepting new patients
Traveling Foot Doctors CurrentSince Dec 1, 2015 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Dec 14, 2015 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Past Accepting new patients
Premium Foot Care, LLC PastSince Feb 27, 2013 Accepting new patients

Locations

12100 Superior Ave
Cleveland, OH 44106
Phone (216) 231-7700

13301 Miles Ave
Cleveland, OH 44105
Phone (216) 751-3100

15322 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 491-2318

4800 Payne Ave
Cleveland, OH 44103
Phone (216) 231-7700

8300 Hough Ave
Cleveland, OH 44103
Phone (216) 231-7700

30692 Lorain Rd
North Olmsted, OH 44070
Phone (440) 471-4970

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: morris.haywooddpm.p1@direct.neon.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1316945884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3882 TYNDALL RD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441184724",
            "telephone_number": "216-371-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 EUCLID AVE",
            "address_2": "#110",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44103",
            "telephone_number": "216-231-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "MORRIS",
        "middle_name": "TYRONE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "3395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00167648",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CH5179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.