MEDICARE: DR. DAVID HAYES DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34.011338	OH

General Provider Information

NPI Number	:	1003103672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID HAYES DO

Provider Business Mailing Address
First Line	:	4700 SMITH RD
Second Line	:	SUITE A
City	:	CINCINNATI
State	:	OH
Zip	:	45212-2787
Country	:	US
Telephone Number	:	513-533-1199
Fax Number	:	513-533-6000

Provider Business Practice Location Address
First Line	:	6825 WOOSTER PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45227-4328
Country	:	US
Telephone Number	:	513-272-0250
Fax Number	:	513-272-1278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2011
Last Update Date	:	07/11/2014

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