Basic Information
Provider Information
NPI: 1376586776
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAYWARD
FirstName: FRANKLIN
MiddleName:  
NamePrefix: DR.
NameSuffix: II
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 801143
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641801143
CountryCode: US
TelephoneNumber: 5733315583
FaxNumber: 5733315079
Practice Location
Address1: 150 S MOUNT AUBURN RD STE 342
Address2:  
City: CAPE GIRARDEAU
State: MO
PostalCode: 637034911
CountryCode: US
TelephoneNumber: 5733315677
FaxNumber: 5733315678
Other Information
ProviderEnumerationDate: 06/14/2006
LastUpdateDate: 02/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000X2006012799MOY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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