Provider Demographics
NPI:1780661330
Name:HAY, DAVID (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:HAY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2229
Mailing Address - Country:US
Mailing Address - Phone:610-965-9410
Mailing Address - Fax:610-965-6284
Practice Address - Street 1:680 HARRISON ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2229
Practice Address - Country:US
Practice Address - Phone:610-965-9410
Practice Address - Fax:610-965-6284
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-26
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002994L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0721440001Medicare NSC
PAT30374Medicare UPIN
PAHA428215Medicare PIN