MEDICARE: DR. JAMES N KAYA MD

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	35-048990	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00082373	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588633796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES N KAYA MD

Provider Business Mailing Address
First Line	:	PO BOX 633956
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-3956
Country	:	US
Telephone Number	:	513-260-7005
Fax Number	:	513-681-5204

Provider Business Practice Location Address
First Line	:	4311 HAIGHT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-1715
Country	:	US
Telephone Number	:	513-260-7005
Fax Number	:	513-681-5204

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	02/24/2014

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