Provider Demographics
NPI:1801218805
Name:HAYES & FYDA MDS LTD
Entity Type:Organization
Organization Name:HAYES & FYDA MDS LTD
Other - Org Name:GREAT BASIN ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:FYDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-786-1600
Mailing Address - Street 1:9480 DOUBLE DIAMOND PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5844
Mailing Address - Country:US
Mailing Address - Phone:775-786-1600
Mailing Address - Fax:775-786-7706
Practice Address - Street 1:9480 DOUBLE DIAMOND PKWY STE 100
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5844
Practice Address - Country:US
Practice Address - Phone:775-786-1600
Practice Address - Fax:775-786-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV19701001146207X00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0452970002Medicare NSC
1801218805Medicare PIN