Michael Hayward M.D. a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.017690 Issued in LA

Legal business name

MICHAEL HAYWARD M.D. A MEDICAL CORPORATION

Practice address

3510 Medical Park Dr
Suite 5
Monroe, LA 71203-2384

Phone

(318) 387-4855

Fax

(318) 325-2036

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Michael Hayward, M.D.

Title

President

Phone

(318) 387-4855

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1831405208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MEDICAL PARK DR",
            "address_2": "SUITE 5",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032384",
            "telephone_number": "318-387-4855",
            "fax_number": "318-325-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MEDICAL PARK DR",
            "address_2": "SUITE 5",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032384",
            "telephone_number": "318-387-4855",
            "fax_number": "318-325-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL HAYWARD M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-387-4855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.017690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348619",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.