Provider Demographics
NPI:1477523876
Name:HEY, LLOYD A (MD, MS)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:A
Last Name:HEY
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 WAKE FOREST RD STE 450
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7300
Mailing Address - Country:US
Mailing Address - Phone:919-790-1717
Mailing Address - Fax:919-926-1163
Practice Address - Street 1:3320 WAKE FOREST RD STE 450
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609
Practice Address - Country:US
Practice Address - Phone:919-790-1717
Practice Address - Fax:919-926-1163
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500096207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2342276OtherMEDICARE GROUP PIN
NC8941750Medicaid
F61487Medicare UPIN
NC8941750Medicaid