Provider Demographics
NPI:1093804882
Name:HAY, DAVID WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WILLIAM
Last Name:HAY
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 1:325 E KENNEDY MEMORIAL DRIVE
Mailing Address - Street 2:MAINEGENERAL GASTROENTEROLOGY
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901
Mailing Address - Country:US
Mailing Address - Phone:207-872-2424
Mailing Address - Fax:207-872-2099
Practice Address - Street 1:325 E KENNEDY MEMORIAL DRIVE
Practice Address - Street 2:MAINEGENERAL GASTROENTEROLOGY
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901
Practice Address - Country:US
Practice Address - Phone:207-872-2424
Practice Address - Fax:207-872-2099
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME012891207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME272270099Medicaid
ME002128OtherANTHEM
ME272270099Medicaid
ME002128OtherANTHEM
E54952Medicare UPIN