Provider Demographics
NPI:1457388746
Name:SURGICAL ASSOCIATES OF HAYS, P.A.
Entity Type:Organization
Organization Name:SURGICAL ASSOCIATES OF HAYS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:LASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-628-3217
Mailing Address - Street 1:2501 E 13TH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2764
Mailing Address - Country:US
Mailing Address - Phone:785-628-3217
Mailing Address - Fax:785-628-3372
Practice Address - Street 1:2501 E 13TH ST STE 7
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2764
Practice Address - Country:US
Practice Address - Phone:785-628-3217
Practice Address - Fax:785-628-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS004131Medicare ID - Type Unspecified