Provider Demographics
NPI:1003822206
Name:HAYES, DANIEL HARVEY (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:HARVEY
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 602230
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2230
Mailing Address - Country:US
Mailing Address - Phone:828-894-3300
Mailing Address - Fax:828-899-3377
Practice Address - Street 1:44 HOSPITAL DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-8516
Practice Address - Country:US
Practice Address - Phone:828-894-3300
Practice Address - Fax:828-899-3377
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9300144204F00000X, 208600000X
NC93-00144207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC40735OtherNCBCBS
SCN00144Medicaid
NC7940735Medicaid
NCNCN722AOtherMEDICARE PTAN
NC1003822206Medicaid
NCNCN722BMedicare PIN
NC2194804AMedicare PIN
NC020039924Medicare PIN
NC40735OtherNCBCBS
NCB64524Medicare UPIN