Provider Demographics
NPI:1396946687
Name:PAUL N. HAYES, MD PC
Entity type:Organization
Organization Name:PAUL N. HAYES, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:N
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:906-563-9255
Mailing Address - Street 1:500 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:MI
Mailing Address - Zip Code:49870-1238
Mailing Address - Country:US
Mailing Address - Phone:906-563-9255
Mailing Address - Fax:906-563-9706
Practice Address - Street 1:500 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:MI
Practice Address - Zip Code:49870-1238
Practice Address - Country:US
Practice Address - Phone:906-563-9255
Practice Address - Fax:906-563-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI41583-020207Q00000X
MI4301035335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1099106Medicaid
MI1487617296OtherINDIVIDUAL NPI NUMBER
MI0802203533OtherBLUE CROSS OF MICHIGAN
WI30119000Medicaid
MIPH35335OtherCOMMERCIAL INSURANCE #
MI01007383OtherPREFERRED ONE
MIB44606Medicare UPIN
MIPH35335OtherCOMMERCIAL INSURANCE #