Provider Demographics
NPI:1336118066
Name:HEYWOOD, RICHARD EDWARD III (DO)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:EDWARD
Last Name:HEYWOOD
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:34 BATES RD STE 202
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3280
Mailing Address - Country:US
Mailing Address - Phone:508-681-5081
Mailing Address - Fax:877-669-1746
Practice Address - Street 1:34 BATES RD
Practice Address - Street 2:STE 202
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649
Practice Address - Country:US
Practice Address - Phone:508-681-5081
Practice Address - Fax:877-669-1746
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102201759207V00000X
MA247143207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology