Provider Demographics
NPI:1588633796
Name:KAYA, JAMES N (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:N
Last Name:KAYA
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:PO BOX 633956
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-3956
Mailing Address - Country:US
Mailing Address - Phone:513-260-7005
Mailing Address - Fax:513-681-5204
Practice Address - Street 1:4311 HAIGHT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-1715
Practice Address - Country:US
Practice Address - Phone:513-260-7005
Practice Address - Fax:513-681-5204
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-048990207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0572250Medicaid
IN200489860AMedicaid
OHP00082373OtherRR MEDICARE
OH0572250Medicaid
IN200489860AMedicaid