MEDICARE: JOE HAYASHI, PC

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	207R00000X	Internal Medicine Physician	12865	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z71076	OTHER	AZ	MEDICARE INDIVIDUAL PROV#

Other Identifiers

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

General Provider Information

NPI Number	:	1841473139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOE HAYASHI, PC

Provider Business Mailing Address
First Line	:	14300 W GRANITE VALLEY DR
Second Line	:	STE D18
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-5783
Country	:	US
Telephone Number	:	623-546-6535
Fax Number	:	623-546-6824

Provider Business Practice Location Address
First Line	:	14300 W GRANITE VALLEY DR
Second Line	:	STE D18
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-5783
Country	:	US
Telephone Number	:	623-546-6535
Fax Number	:	623-546-6824

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOE T HAYASHI
Credential	:	MD
Telephone Number	:	623-546-6535

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	06/11/2012

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