Provider Demographics
NPI:1083672562
Name:HAYES, CARAN
Entity Type:Individual
Prefix:
First Name:CARAN
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 FRYE FARM RD
Mailing Address - Street 2:MCCANDLESS CORPORATE CENTER BUILDING 111
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:433 FRYE FARM RD
Practice Address - Street 2:NEUROLOGICAL INSTITUTE OF WESTERN PENNSYLVANIA
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7920
Practice Address - Country:US
Practice Address - Phone:724-537-0885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052257363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA098486ELMMedicare ID - Type Unspecified
Q63717Medicare UPIN