Provider Demographics
NPI:1821066127
Name:HAYES, RODNEY ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:ALLEN
Last Name:HAYES
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 1:200 ELM ST N
Mailing Address - Street 2:
Mailing Address - City:ONAMIA
Mailing Address - State:MN
Mailing Address - Zip Code:56359-7901
Mailing Address - Country:US
Mailing Address - Phone:320-532-3154
Mailing Address - Fax:320-532-3111
Practice Address - Street 1:200 ELM ST N
Practice Address - Street 2:
Practice Address - City:ONAMIA
Practice Address - State:MN
Practice Address - Zip Code:56359-7901
Practice Address - Country:US
Practice Address - Phone:320-532-3154
Practice Address - Fax:320-532-3111
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN34601207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN8F737MAOtherBLUE CROSS CLINIC
MN01-28722OtherMEDICA ISLE
MN01-29390OtherMEDICA ISLE
MNHP20689OtherHEALTH PARTNERS
MNNA9091000274OtherPREFFERED ONE
MN315065800Medicaid
SD7713280Medicaid
MN102690OtherUCARE
MN01-28723OtherMEDICA ONAMIA
MN7T107MAOtherBLUE CROSS HOSPITAL
MNNA9091000274OtherPREFFERED ONE
MN102690OtherUCARE
MN080014417Medicare ID - Type UnspecifiedONAMIA
SD7713280Medicaid