GORDON L. HAYCRAFT MD – NPI #1922105220
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

GORDON HAYCRAFT is a physician located in CAPE GIRARDEAU, MO. NPPES has assigned the NPI number 1922105220 to GORDON HAYCRAFT on September 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GORDON HAYCRAFT below.

NPI Profile for
GORDON L. HAYCRAFT

NPI Number
1922105220
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GORDON L. HAYCRAFT
Credentials
MD
Primary location
1723 BROADWAY
SUITE 310
CAPE GIRARDEAU, MO 63701
Phone: (573) 331-7850 Fax:
Mailing address
2922 PARK WEST HTS
CAPE GIRARDEAU, MO 63703-5006
Phone: (573) 331-7850 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MO R9D76

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.