Provider Demographics
NPI:1245200153
Name:HAYES, DANIEL M (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 CAMPUS DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9692
Mailing Address - Country:US
Mailing Address - Phone:207-885-7600
Mailing Address - Fax:207-885-7610
Practice Address - Street 1:100 CAMPUS DR
Practice Address - Street 2:SUITE 108
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9692
Practice Address - Country:US
Practice Address - Phone:207-885-7600
Practice Address - Fax:207-885-7610
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME8494207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1040572OtherANTHEM HMO
ME002392OtherANTHEM BCBS
ME284590099Medicaid
ME4240949OtherAETNA
ME6627712OtherCIGNA
MEGX4863Medicare PIN
ME284590099Medicaid
ME06131001Medicare PIN
ME6627712OtherCIGNA