Provider Demographics
NPI:1093754566
Name:HAYES, DONALD W (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:W
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 1:2116 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5106
Mailing Address - Country:US
Mailing Address - Phone:205-822-8038
Mailing Address - Fax:205-822-8040
Practice Address - Street 1:2116 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-5106
Practice Address - Country:US
Practice Address - Phone:205-822-8038
Practice Address - Fax:205-822-8040
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00245213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051500908Medicaid
AL051500908Medicaid
AL051503512Medicare ID - Type Unspecified