Provider Demographics
NPI:1316945884
Name:HAYWOOD, MORRIS TYRONE (DPM)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:TYRONE
Last Name:HAYWOOD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3882 TYNDALL RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4724
Mailing Address - Country:US
Mailing Address - Phone:216-371-9999
Mailing Address - Fax:
Practice Address - Street 1:4415 EUCLID AVE
Practice Address - Street 2:#110
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103
Practice Address - Country:US
Practice Address - Phone:216-231-5612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3395213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00167648OtherRR MEDICARE
OHCH5179OtherRR MEDICARE GROUP
OHCH5179OtherRR MEDICARE GROUP
OH4144872Medicare PIN
OH4310000001Medicare NSC
OHU75027Medicare UPIN