JARED LAVELL HAYMORE PA-C NPI 1316419641

NPI Information

  • NPI: 1316419641
  • Provider Name: JARED LAVELL HAYMORE, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5750 E HIGHWAY 90 STE 200
    SIERRA VISTA, AZ
    ZIP 85635
  • Phone: (520) 263-3500

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NPI Details

Jared Lavell Haymore, PA-C is a surgical physician assistant in Sierra Vista, AZ with 8 years of experience. Jared Lavell Haymore, PA-C NPI is 1316419641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ
ZIP 85635-113
Phone: (520) 263-3500
Fax: (520) 263-3599

The NPI 1316419641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Injection, methylprednisolone sodium succinate, up to 40 mg (HCPCS:J2920)
  • Hyaluronan or derivative, monovisc, for intra-articular injection, per dose (HCPCS:J7327)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 12/27/2018 and was last updated on 12/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical7381ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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