Provider Demographics
NPI:1356882542
Name:JAMES, HAYLEY RYAN (MD)
Entity type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:RYAN
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PETER JEFFERSON PKWY STE 350
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8836
Mailing Address - Country:US
Mailing Address - Phone:434-978-2040
Mailing Address - Fax:434-978-2040
Practice Address - Street 1:600 PETER JEFFERSON PKWY STE 350
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8836
Practice Address - Country:US
Practice Address - Phone:434-978-2040
Practice Address - Fax:434-978-2041
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY55571207W00000X
VA010127736207WX0107X
KYTP139207W00000X
VA0101277236207W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100745950Medicaid
OH0444622Medicaid