MEDICARE: STEVE W HAYES D.P.M.

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	213E00000X	Podiatrist	1284	TX
2	213EP1101X	Primary Podiatric Medicine Podiatrist	1284	TX
3	213ES0000X	Sports Medicine Podiatrist	1284	TX
4	213ES0131X	Foot Surgery Podiatrist	1284	TX

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

General Provider Information

NPI Number	:	1609876358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE W HAYES D.P.M.

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	09/10/2008

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