Provider Demographics
NPI:1295725943
Name:HAYES, DAVID M (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2007 W FRANKLIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47712-5112
Mailing Address - Country:US
Mailing Address - Phone:812-422-7244
Mailing Address - Fax:812-421-9180
Practice Address - Street 1:2007 W FRANKLIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-5112
Practice Address - Country:US
Practice Address - Phone:812-422-7244
Practice Address - Fax:812-421-9180
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2015-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01034113207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000221260OtherBLUE CROSS BLUE SHIELD
IN100247910BMedicaid
IN080184468OtherRAILROAD MEDICARE
IN000000221260OtherBLUE CROSS BLUE SHIELD
IN080184468OtherRAILROAD MEDICARE
IND70823Medicare UPIN