Mitchell C Haywood (NPI# 1972511178, PAC ID# 9638131758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1972511178 |
| PAC ID by PECOS | 9638131758 |
| Professional Enrollment ID | I20041101000957 |
| Full Name | Mitchell C Haywood |
| Organization Legal Name | CENTEGRA PRIMARY CARE LLC |
| Address |
4201 W Medical Ctr Dr Mchenry IL 60050-8409 |
| Phone Number | 8153445000 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHY |
| Graduation Year | 1990 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 0446157630 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140176 | CENTEGRA HEALTH SYSTEM - WOODSTOCK HOSPITAL |
| 140116 | CENTEGRA HEALTH SYSTEM - MC HENRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 | 8153445000 | CENTEGRA PRIMARY CARE LLC |
| 527 W S St, Woodstock, IL 60098-3756 | 8153389199 | CENTEGRA PRIMARY CARE LLC |
| Organization Legal Name | CENTEGRA PRIMARY CARE LLC |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian B Blackmon | Psychiatry | Centegra Primary Care LLC | 3701 Doty Rd, Woodstock, IL 60098-7509 |
| Nilam M Patel | Physician Assistant | Centegra Primary Care LLC | 11650 S Il Route 47, Huntley, IL 60142-9613 |
| Marilyn M Lacrosse | Emergency Medicine | Centegra Primary Care LLC | 360 N Terra Cotta Rd C, Crystal Lake, IL 60012-3749 |
| David A Shinherr | Chiropractic | Centegra Primary Care LLC | 11650 S Il Route 47, Huntley, IL 60142-9613 |
| Ryan Miguel Colon | Physician Assistant | Centegra Primary Care LLC | 10400 Haligus Rd, Huntley, IL 60142-9553 |
| Warren S Jablonsky | Orthopedic Surgery | Centegra Primary Care LLC | 10350 Haligus Rd, Huntley, IL 60142-9545 |
| Roseviminda Abano | Nurse Practitioner | Centegra Primary Care LLC | 4309 W Medical Ctr Dr, Mchenry, IL 60050-8419 |
| Nancy R Prokup | Nurse Practitioner | Centegra Primary Care LLC | 2507 N Richmond Rd, Mchenry, IL 60051-5407 |
| William D Cox Jr. | Sports Medicine | Centegra Primary Care LLC | 10350 Haligus Rd, Huntley, IL 60142-9545 |
| Tonya R Fisher | Nurse Practitioner | Centegra Primary Care LLC | 10350 Haligus Rd, Huntley, IL 60142-9545 |
| Street Address |
4201 W MEDICAL CTR DR |
| City | MCHENRY |
| State | IL |
| Zip | 60050-8409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn R Rogge | Nurse Practitioner | Metro Infectious Disease Consultants LLC | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 |
| Adelaide M Horcher | Pathology | Mchenry Pathology Associates Sc | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 |
| Jenie S Nepomuceno | Hospitalist | Metro Infectious Disease Consultants LLC | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 |
| Wendy L Ward | Pathology | Mchenry Pathology Associates Sc | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 |
| James T Link | Diagnostic Radiology | Mchenry Radiologists and Imaging Associates Sc | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 |
| Philip N Bushnick | Plastic and Reconstructive Surgery | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 | |
| Bala Tripura S Voruganti | Diagnostic Radiology | Mchenry Radiologists and Imaging Associates Sc | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 |
| Ryan Lee Lo | Diagnostic Radiology | Mchenry Radiologists and Imaging Associates Sc | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 |
| Valeria Mourzaeva | Certified Registered Nurse Anesthetist (crna) | Huntley Anesthesia Associates LLC | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 |
| Paula Kovarik | Pathology | Mchenry Pathology Associates Sc | 4201 W Medical Ctr Dr, Mchenry, IL 60050-8409 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Mary Dosemagen | Certified Registered Nurse Anesthetist | Anesthesia Associates of Crystal Valley, S. C. | 4309 W Medical Ctr Dr, A201, Mchenry, IL 60050-0841 |
| David K Hansen | Certified Registered Nurse Anesthetist | Anesthesia Associates of Crystal Valley, S. C. | 4309 W Medical Ctr Dr, Mchenry, IL 60050-0841 |
| Deborah Ann Mitchell | Physical Therapy | 5435 Bull Valley Rd, Suite 110, Mchenry, IL 60050-2209 | |
| Alan H Numbers | Podiatry | 5435 Bull Valley Rd, Suite 102, Mchenry, IL 60050-2209 | |
| Allyson Lyn Stellmach | Physical Therapy | Deborah A Mitchell Physical Therapy LLC | 5435 Bull Valley Rd, Mchenry, IL 60050-2209 |
| Syed Hassan | Family Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Ernest A Conti | Diagnostic Radiology | Pacific Vein Care, LLC | 3929 Mercy Dr, Mchenry, IL 60050-3151 |
| Norman J. Mecwan | Physical Therapy | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Stephen L Merrill | Emergency Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Jakob C Thorud | Podiatry | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Find all physicians in zip 60050 | |||
| City | MCHENRY |
| Zip Code | 60050 |
| Specialty | PSYCHIATRY |
| City + Specialty | MCHENRY + PSYCHIATRY |
Please comment or provide details below to improve the information on Mitchell C Haywood.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.