Provider Demographics
NPI:1013946599
Name:MAYS, MICHAEL L (CRNA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:L
Last Name:MAYS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 UNIVERSITY DR SE
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-7446
Mailing Address - Country:US
Mailing Address - Phone:330-833-6386
Mailing Address - Fax:
Practice Address - Street 1:2125 UNIVERSITY DR SE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-7446
Practice Address - Country:US
Practice Address - Phone:330-833-6386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-272407367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2473032Medicaid
OH2473032Medicaid