MEDICARE: JAMES N KAYA, MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208M00000X	Hospitalist Physician
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DB0091	OTHER	OH	RR MEDICARE

General Provider Information

NPI Number	:	1750480596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES N KAYA, MD

Provider Business Mailing Address
First Line	:	PO BOX 633956
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-0040
Country	:	US
Telephone Number	:	513-891-7574
Fax Number	:	513-793-1032

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	:	OWNER
Name	:	DR. JAMES N KAYA
Credential	:	MD
Telephone Number	:	513-260-7005

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	11/30/2007

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