Provider Demographics
NPI:1154520476
Name:HAYES, JOHN S (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:S
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13900 COUNTY ROAD 455
Mailing Address - Street 2:UNIT 107 #373
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-9029
Mailing Address - Country:US
Mailing Address - Phone:352-388-5800
Mailing Address - Fax:352-388-7001
Practice Address - Street 1:1400 N US HIGHWAY 441 STE 522
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-8983
Practice Address - Country:US
Practice Address - Phone:434-466-4753
Practice Address - Fax:352-388-7001
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME129748207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103095557001Medicaid
VA1154520476Medicaid