Active NPI
Sharon R Hayward, M.D.
- Surgery Physician
- Iron River, MI
National Provider Identifier
1962482828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39964
- Practice address
- 1400 W Ice Lake Rd
Iron River, MI 49935-9526 - Phone
- (906) 308-0230
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39964 | WI | Primary |
Addresses
Primary practice location
1400 W Ice Lake Rd
Iron River, MI 49935-9526
Mailing address
N1246 County Road H
Stanley, WI 54768-9618
Phone (715) 644-8168
Other practice location 1
1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11068-0010 | Other | WI | MEDICARE WPS PART B |
| 31640800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100123000021 | WI | Practitioner - General Surgery | 5395654065 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc | Current | Accepting new patients |
Locations
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1962482828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1246 COUNTY ROAD H",
"city": "STANLEY",
"state": "WI",
"postal_code": "547689618",
"telephone_number": "715-644-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W ICE LAKE RD",
"city": "IRON RIVER",
"state": "MI",
"postal_code": "499359526",
"telephone_number": "906-308-0230"
}
],
"practiceLocations": [
{
"address_1": "1120 Pine St",
"address_purpose": "LOCATION",
"city": "Stanley",
"state": "WI",
"postal_code": "547681297",
"country_code": "US",
"telephone_number": "715-644-5530",
"fax_number": "715-644-6223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYWARD",
"first_name": "SHARON",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "39964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WPS PART B",
"identifier": "11068-0010",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31640800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iron River, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.