Provider Demographics
NPI:1780682245
Name:HAYES, JAMES MATTHEW III (NP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MATTHEW
Last Name:HAYES
Suffix:III
Gender:M
Credentials:NP
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Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:300B FAUNCE CORNER ROAD
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1257
Practice Address - Country:US
Practice Address - Phone:508-973-1020
Practice Address - Fax:508-973-1025
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2014-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA216266363LA2200X
MA236818363LA2200X
MARN216266363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000044849OtherBMC
MA42220OtherCHILDRENS MEDICAL SECURIT
MA0011833OtherNEIGHBORHOOD HEALTH PLAN
MA20780-9OtherBCBSRI
MANP 2058OtherHMO BLUE
MA405322OtherBLUE CHIP
MA500021722OtherRAILROAD MEDICARE
MA000000044849OtherBMC
MAS92249Medicare UPIN