Organization Active NPI

Hayman Multicare

  • Podiatrist
  • Prescott, AZ
National Provider Identifier
1922543925
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
216 Issued in AZ
Legal business name
HAYMAN MULTICARE
Practice address
3103 Clearwater Dr Ste B
Prescott, AZ 86305
Phone
(928) 776-9428
Fax
(928) 776-9214
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Brad Hayman, DPM
Title
Owner/Manager
Phone
(928) 776-9428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 216 AZ Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 216 AZ

Addresses

Primary practice location

3103 Clearwater Dr Ste B
Prescott, AZ 86305

Mailing address

3103 Clearwater Dr Ste B
Prescott, AZ 86305-7165
Phone (928) 776-9428

Other practice location 1

3103 Clearwater Dr Ste B
Prescott, AZ 86305-7165
Phone (928) 776-9428

Other identifiers 3

IdentifierTypeStateIssuer
1871151563MedicaidAZ
1235240847MedicaidAZ
102434MedicaidAZ

National Provider Directory

National Provider Directory

Locations

3196 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1505

10147 Grand Ave
Ste A-5
Sun City, AZ 85351
Phone (623) 815-7466

13606 W Camino del Sol
Ste 104
Sun City West, AZ 85375
Phone (623) 584-8069

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1922543925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 CLEARWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057165",
            "telephone_number": "928-776-9428",
            "fax_number": "928-776-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 CLEARWATER DR STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-776-9428",
            "fax_number": "928-776-9214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3103 Clearwater Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863057165",
            "country_code": "US",
            "telephone_number": "928-776-9428",
            "fax_number": "928-776-9214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAYMAN MULTICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "HAYMAN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "928-776-9428",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "216",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871151563",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235240847",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102434",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.