NPIMap

Individual provider Active NPI

William Justin Hayes, M.D.

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1891735098
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3907 Issued in AR
Practice address
11300 Roberts Blvd
Chaffee Crossing Clinic
Fort Smith, AR 72916
Phone
(479) 434-6205
Fax
(479) 434-6210
NPI assigned
Jun 7, 2006
Last updated
Sep 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3907 AR Primary
Family Medicine Physician 207Q00000X 26119 OK

Addresses

Primary practice location

11300 Roberts Blvd
Chaffee Crossing Clinic
Fort Smith, AR 72916

Mailing address

PO Box 843
Chaffee Crossing Clinic
Hackett, AR 72937-0843
Phone (479) 434-6205

Other names 1

  • Dr. William Justin Hayes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040714001522 AR Practitioner - Family Practice 4981683851 Reassigns benefits to 2 organizations
I20080917000706 TX Practitioner - Family Practice 4981683851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Practice addresses (Care Compare)

109 Kerr Blvd
Poteau, OK 74953-5231
Phone (539) 316-6391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.07 of 100Reported as group
Quality
73.06
Improvement activities
40
Cost
69.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3907ARMDFamily Medicine Physician
26119OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Oct 11, 2014 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Ess Hospitalist LLC CurrentSince Oct 11, 2014 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Sep 15, 2015 Accepting new patients
Booneville Community Hospital, Inc. Past Accepting new patients
Booneville Community Hospital, Inc Past Accepting new patients

Locations

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8400

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Interoperability endpoints

  • Direct secure messaging: whayes19412@choctawnation.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1891735098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "address_2": "CHAFFEE CROSSING CLINIC",
            "city": "HACKETT",
            "state": "AR",
            "postal_code": "729370843",
            "telephone_number": "479-434-6205",
            "fax_number": "479-434-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 ROBERTS BLVD",
            "address_2": "CHAFFEE CROSSING CLINIC",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72916",
            "telephone_number": "479-434-6205",
            "fax_number": "479-434-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "WILLIAM",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3907",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "HAYES",
            "middle_name": "JUSTIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.