Healthcare Provider Details
I. General information
NPI: 1750480596
Provider Name (Legal Business Name): JAMES N KAYA, MD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2006
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4311 HAIGHT AVE
CINCINNATI OH
45223-1715
US
IV. Provider business mailing address
PO BOX 633956
CINCINNATI OH
45263-0040
US
V. Phone/Fax
- Phone: 513-260-7005
- Fax: 513-681-5204
- Phone: 513-891-7574
- Fax: 513-793-1032
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
N
KAYA
Title or Position: OWNER
Credential: MD
Phone: 513-260-7005