Healthcare Provider Details

I. General information

NPI: 1316936081
Provider Name (Legal Business Name): MATTHEW ERIC HAYS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 SIXTH ST
TRAVERSE CITY MI
49684-2345
US

IV. Provider business mailing address

3074 N US 31 S
TRAVERSE CITY MI
49684-4533
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-5000
  • Fax:
Mailing address:
  • Phone: 231-929-1234
  • Fax: 231-392-7341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number5601004571
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: