Provider Demographics
NPI:1932201498
Name:HAYEK, BENJAMIN M (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:M
Last Name:HAYEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-2428
Mailing Address - Country:US
Mailing Address - Phone:330-744-0221
Mailing Address - Fax:330-744-4716
Practice Address - Street 1:2111 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-2428
Practice Address - Country:US
Practice Address - Phone:330-744-0221
Practice Address - Fax:330-744-4716
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35043267207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341788996028OtherCARESOURCE
OH0431732Medicaid
OH000000138793OtherANTHEM
OH000000139083OtherUNISON
OHP006352OtherGATEWAY
OH0400327OtherUNITED HEALTHCARE
OHHA0480753Medicare PIN
OH0431732Medicaid