Provider Demographics
NPI:1578697785
Name:HAYDEN, JAMES BERNARD (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:BERNARD
Last Name:HAYDEN
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 1:4133 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:BROAD TOP
Mailing Address - State:PA
Mailing Address - Zip Code:16621-9001
Mailing Address - Country:US
Mailing Address - Phone:814-635-2916
Mailing Address - Fax:814-635-2918
Practice Address - Street 1:835 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1725
Practice Address - Country:US
Practice Address - Phone:814-506-8114
Practice Address - Fax:814-506-8553
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032232E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001043316-0012Medicaid
PA001043316-0010Medicaid
PA4420856OtherAETNA
PA001043316-0006Medicaid
PA001043316-0009Medicaid
PA001043316-0004Medicaid
PA001043316-0008Medicaid
PA001043316-0005Medicaid
PA001043316-0011Medicaid
PA206470OtherUPMC
PA662417OtherPART-B PTAN
PA000126289OtherHIGHMARK BCBS
PA30259643OtherAMERIHEALTH CARITAS