Gordon L Haycraft, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

R9D76 Issued in MO

Practice address

1723 Broadway
Suite 310
Cape Girardeau, MO 63701

Phone

(573) 331-7850

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922105220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 PARK WEST HTS",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035006",
            "telephone_number": "573-331-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 BROADWAY",
            "address_2": "SUITE 310",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-331-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYCRAFT",
        "first_name": "GORDON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R9D76",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Glennon Harter, DDS
• Kourtney Hartwell, RN, CRNA
• Megan B Harvill, MSN, APRN, FNP-BC
• Kimberlie Suzanne Haupt
• Jessica Hayamizu
• Joseph Derrick Hayes Jr., MD
• Leah Danielle Hayman, APRN, FNP-C
• Abby Brook Haynes
• Bradley Scott Hazel, APRN
• HCM Group, LLC

• Cardiovascular Disease Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Cardiovascular Disease Physician in Missouri

• 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.

Verify at the official NPI Registry.