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General NPI Number Information
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NPI Number | 1568882116
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Entity Type | Individual
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Provider Name | PETER JOHN HAYES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 428 COUNTY LINE RD W
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City | WESTERVILLE
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State | OH
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Zip | 43082-7294
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Country | US
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Telephone | 614-714-5685
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Fax |
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Provider Business Mailing Address
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Address Line | 686 VERNON RD
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City | BEXLEY
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State | OH
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Zip | 43209-2462
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Country | US
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Telephone | 502-494-9132
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35.134284
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License Number State | OH
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