Healthcare Provider Details

I. General information

NPI: 1083672562
Provider Name (Legal Business Name): CARAN HAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 EMERYVILLE RD
MARS PA
16046-4404
US

IV. Provider business mailing address

130 IRWIN AVE
PITTSBURGH PA
15202-1940
US

V. Phone/Fax

Practice location:
  • Phone: 724-276-5888
  • Fax: 724-221-8082
Mailing address:
  • Phone: 724-276-5888
  • Fax: 724-221-8082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA052257
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: