Wayne R Hawkins, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R5C53 Issued in MO

Practice address

1510 Crown Dr
Kirksville, MO 63501-2553

Phone

(660) 627-8387

Fax

(660) 627-0878

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1841275740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CROWN DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012548",
            "telephone_number": "660-627-5757",
            "fax_number": "660-627-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CROWN DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012553",
            "telephone_number": "660-627-8387",
            "fax_number": "660-627-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "WAYNE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R5C53",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241749126",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Hasham
• Courtney Brooke Hatfield, DC
• Shannon M Hatfield, FNP
• Danita Havens, RN
• Cynthia M Hawkey, RDH
• Healthy Family Clinic, LLC
• Hearing Unlimited
• Hearken Hearing & Audiology LLC
• Heartland Physicians Corporation
• Heartland Surgical Specialists, L.L.P.

• Family Medicine Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.