Provider Demographics
NPI:1124249784
Name:HAYES, JOANNE M (MPH, PA-C)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:M
Last Name:HAYES
Suffix:
Gender:F
Credentials:MPH, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SINAI HOSPITAL OF BALTIMORE
Mailing Address - Street 2:HOFFBERGER 17, 2435 WEST BELVEDERE AVE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:410-601-6207
Mailing Address - Fax:410-610-6006
Practice Address - Street 1:SINAI HOSPITAL OF BALTIMORE
Practice Address - Street 2:HOFFBERGER 17, 2435 WEST BELVEDERE AVE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-6207
Practice Address - Fax:410-610-6006
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0000550363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS589Medicare PIN
MDK382Medicare PIN