Haycock Foot and Ankle Center, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36002946 Issued in OH

Legal business name

HAYCOCK FOOT AND ANKLE CENTER, LLC

Practice address

2311 Baton Rouge
Lima, OH 45805-1129

Phone

(419) 228-3338

Fax

(419) 228-3334

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Darryl Mitchell Haycock, D.P.M.NPI 1053362541

Title

Doctor

Phone

(419) 228-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haycock Foot and Ankle Center, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

• Darryl Mitchell Haycock, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lima, OH
  • NPI 1053362541

  Foot & Ankle Surgery, OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1952425498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 BATON ROUGE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051129",
            "telephone_number": "419-228-3338",
            "fax_number": "419-228-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 BATON ROUGE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051129",
            "telephone_number": "419-228-3338",
            "fax_number": "419-228-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYCOCK FOOT AND ANKLE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "HAYCOCK",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "419-228-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2094951",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haycock Foot and Ankle Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• James Phillip Hawk
• Susan Hawk, PCC
• Taylor Hawke
• Christopher John Hawkins, MD
• Shari Hawkins
• Darryl Mitchell Haycock, D.P.M.
• Hayes Chiropractic Health Center LLC
• Joshua Lee Hayes, D.C.
• Meredith Janell Haynes, PNP
• Jessica Hays, LISW-S

• All providers in Lima, OH
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.