Mark Haywood

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

44521 504TH Ave
Talihina, OK 74571-2064

Phone

(817) 235-2537

NPI assigned

Dec 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1578831004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1273",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745711273",
            "telephone_number": "817-235-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44521 504TH AVE",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "745712064",
            "telephone_number": "817-235-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200305190B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Joseph Harris, DO
• Sean Harris
• Phillip M Hartgraves, D.D.S.
• Trey Jaren Hawkins
• Melinda Ann Hawthorne, D.PH.
• Tammy Heflin
• Debra Nhung Hefner, D.O.
• Michael Helm
• Robert E. Hess Jr., D. D. S.
• Jason Lloyd Hill, D.O.

• Community/Behavioral Health Agency in Talihina, OK
• Providers in Talihina, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.