Individual provider Active NPI

Sharon R Hayward, M.D.

  • Surgery Physician
  • Iron River, MI
National Provider Identifier
1962482828
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39964 Issued in WI
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11068-0010OtherWIMEDICARE WPS PART B
31640800MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Feb 3, 2014 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

Verify at the official NPI Registry.