MEDICARE: JAMES A HAYES MD

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	193400000X	Single Specialty Group	01040361	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110058269	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000083080	OTHER	IN	BCBS

General Provider Information

NPI Number	:	1518075597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A HAYES MD

Provider Business Mailing Address
First Line	:	1200 CHESTER BLVD
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374
Country	:	US
Telephone Number	:	765-966-7724
Fax Number	:	765-966-7754

Provider Business Practice Location Address
First Line	:	1200 CHESTER BLVD
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374
Country	:	US
Telephone Number	:	765-966-7724
Fax Number	:	765-966-7754

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	09/23/2016

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Directions to “ JAMES A HAYES MD” Practice Location

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