Healthcare Provider Details

I. General information

NPI: 1801218805
Provider Name (Legal Business Name): HAYES & FYDA MDS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2014
Last Update Date: 10/19/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9480 DOUBLE DIAMOND PKWY STE 100
RENO NV
89521-5844
US

IV. Provider business mailing address

9480 DOUBLE DIAMOND PKWY STE 100
RENO NV
89521-5844
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-1600
  • Fax: 775-786-7706
Mailing address:
  • Phone: 775-786-1600
  • Fax: 775-786-7706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberNV19701001146
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberNV19701001146
License Number StateNV

VIII. Authorized Official

Name: THOMAS M FYDA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 775-786-1600