MEDICARE: MICHELE T HAYWOOD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	35074760	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	020041969	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000206412	OTHER		ANTHEM

General Provider Information

NPI Number	:	1255426060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE T HAYWOOD MD

Provider Business Mailing Address
First Line	:	2215 E WATERLOO RD
Second Line	:	STE 313
City	:	AKRON
State	:	OH
Zip	:	44312-3814
Country	:	US
Telephone Number	:	330-208-2720
Fax Number	:	330-208-2721

Provider Business Practice Location Address
First Line	:	2215 E WATERLOO RD
Second Line	:	STE 313
City	:	AKRON
State	:	OH
Zip	:	44312-3814
Country	:	US
Telephone Number	:	330-208-2720
Fax Number	:	330-208-2721

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	10/11/2013

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Directions to “ MICHELE T HAYWOOD MD” Practice Location

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