Active NPI
Arlene E Haywood, M.D.
- Pediatrics Physician
- Plantation, FL
National Provider Identifier
1790885390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036671
- Practice address
- 6971 W Sunrise Blvd
Suite 105
Plantation, FL 33313-4407 - Phone
- (954) 583-3500
- Fax
- (954) 583-3512
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 036671 | FL | Primary |
Addresses
Primary practice location
6971 W Sunrise Blvd
Suite 105
Plantation, FL 33313-4407
Mailing address
6971 W Sunrise Blvd
Suite 105
Plantation, FL 33313-4407
Phone (954) 583-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065110900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160217002105 | FL | Order and Referring Only - Pediatric Medicine | 7618272329 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036671 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlene E Haywood, M.D., PA | Pediatrics | Past | Accepting new patients |
| Health Holdings Company LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Plantation, FL
- NPI 1730286337
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1790885390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6971 W SUNRISE BLVD",
"address_2": "SUITE 105",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333134407",
"telephone_number": "954-583-3500",
"fax_number": "954-583-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6971 W SUNRISE BLVD",
"address_2": "SUITE 105",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333134407",
"telephone_number": "954-583-3500",
"fax_number": "954-583-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWOOD",
"first_name": "ARLENE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "036671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065110900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
- Rabia Waseem Hassany, M.D.
- Samantha Proteau Hauptmann, MOTR/L
- Daniel Hauth, AA
- Geraldine Hawkins, APRN
- Lachon Haynes, CAREGIVER
- Einbar Hazan
- Monica Lauren Hazien, OD
- HCR Manor Care Services of Florida III, LLC (ProMedica Hospice (Broward))
- HCR Manor Care Services of Florida III, LLC (ProMedica Hospice (Broward))
- HCR Manor Care Services of Florida III, LLC (ProMedica Hospice (Broward))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.