MEDICARE: STEVE W HAYES DPM PA

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	213EP0504X	Public Medicine Podiatrist	1284	TX
2	213ER0200X	Radiology Podiatrist	1284	TX
3	213ES0000X	Sports Medicine Podiatrist	1284	TX
4	213ES0103X	Foot & Ankle Surgery Podiatrist	1284	TX
5	213ES0131X	Foot Surgery Podiatrist	1284	TX
6	213E00000X	Podiatrist	1284	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	566504001	OTHER	TX	MEDICARE DME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DE4707	OTHER	TX	RR MC GROUP
2	0070NR	OTHER	TX	BCBS GROUP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548201593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVE W HAYES DPM PA

Provider Business Mailing Address
First Line	:	2616 LOY LAKE RD
Second Line	:	SUITE B
City	:	SHERMAN
State	:	TX
Zip	:	75090-2541
Country	:	US
Telephone Number	:	903-892-3889
Fax Number	:	903-892-3749

Provider Business Practice Location Address
First Line	:	2616 LOY LAKE RD
Second Line	:	SUITE B
City	:	SHERMAN
State	:	TX
Zip	:	75090-2541
Country	:	US
Telephone Number	:	903-892-3889
Fax Number	:	903-892-3749

Authorized Official
Title or Position	:	OWNER
Name	:	STEVE W HAYES
Credential	:	DPM
Telephone Number	:	903-892-3889

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	02/05/2013

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