Andrew J. Hayduke, M.D. a Professional Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A70532 Issued in CA

Legal business name

ANDREW J. HAYDUKE, M.D. A PROFESSIONAL CORPORATION

Practice address

39000 Bob Hope Dr
Kiewit Suite 206
Rancho Mirage, CA 92270-3221

Phone

(760) 341-6996

Fax

(760) 341-6776

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Andrew J Hayduke, M.D.NPI 1588666119

Title

President

Phone

(760) 341-6996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Andrew J Hayduke, M.D.

  • Plastic Surgery Physician
  • Rancho Mirage, CA
  • NPI 1588666119
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1982857512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "KIEWIT SUITE 206",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-341-6996",
            "fax_number": "760-341-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "KIEWIT SUITE 206",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-341-6996",
            "fax_number": "760-341-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J. HAYDUKE, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "HAYDUKE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-341-6996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A70532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Ampie, MPAS, PA-C
• Dana Anders, M.A. C.C.C.
• Angel G Anderson, NP
• Peter Andersons, MD
• Andis Almasi DDS Ms Inc
• Andrew Janik, M.D., Inc
• Laura S Androy, PAC
• Dan L Andrus, MD
• Anestheticare Anesthesiology Associates Inc
• Grace Vergara Angus-Amersbach, MSN, CCRN, NP

• Plastic Surgery Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.