MEDICARE: MICHAEL J HAYES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35.049227	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	9121643	OTHER	OH	MEDICARE GROUP
8	9121647	OTHER	OH	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0400328	OTHER	OH	UHC
2	311098079	OTHER	OH	PPONEXT
3	000000118433	OTHER		ANTHEM BCBS
4	311098079111	OTHER	OH	CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	634982	OTHER	OH	AETNA
9	353077	OTHER	OH	CLEARINGHOUSE SUBMITTER#

General Provider Information

NPI Number	:	1174587943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J HAYES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	980 S PROSPECT ST
Second Line	:	SUITE 1
City	:	MARION
State	:	OH
Zip	:	43302-6225
Country	:	US
Telephone Number	:	740-387-6400
Fax Number	:	740-387-6027

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	03/21/2022

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Directions to “ MICHAEL J HAYES M.D.” Practice Location

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