# SAMUEL GREG HEYWOOD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780606731
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 20012 | WV | — |
| 207VX0000X | Obstetrics Physician | 11283381-1205 | UT | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 10/18/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001717320 | BLUE CROSS | WV |
| 05 | — | 1802068000 | — | WV |
| 01 | — | 245048 | MAMSI UNITED HEALTH CARE | WV |
| 01 | — | 550691297 | CIGNA | WV |
| 01 | — | 7672206 | AETNA | WV |