Active NPI
Sheila A Hadaway, DO
- Pediatrics Physician
- Winona, MN
National Provider Identifier
1699785246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 39999
- Practice address
- 859 Mankato Avenue
Winona Clinic LTD
Winona, MN 55987 - Phone
- (507) 454-3680
- Fax
- (507) 457-7672
- NPI assigned
- Aug 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 39999 | MN | Primary |
Addresses
Primary practice location
859 Mankato Avenue
Winona Clinic LTD
Winona, MN 55987
Mailing address
859 Mankato Avenue
Winona Clinic LTD
Winona, MN 55987
Phone (507) 454-3680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77771750 | Medicaid | MN |
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 |
|---|---|---|---|
| 39999 | MN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699785246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 MANKATO AVENUE",
"address_2": "WINONA CLINIC LTD",
"city": "WINONA",
"state": "MN",
"postal_code": "55987",
"telephone_number": "507-454-3680",
"fax_number": "507-457-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 MANKATO AVENUE",
"address_2": "WINONA CLINIC LTD",
"city": "WINONA",
"state": "MN",
"postal_code": "55987",
"telephone_number": "507-454-3680",
"fax_number": "507-457-7672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADAWAY",
"first_name": "SHEILA",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "39999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77771750",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.