Provider Demographics
NPI:1215929997
Name:HAYS, DAVID J (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:HAYS
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:PO BOX 495
Mailing Address - Street 2:
Mailing Address - City:EAST BERNSTADT
Mailing Address - State:KY
Mailing Address - Zip Code:40729-0495
Mailing Address - Country:US
Mailing Address - Phone:606-843-6195
Mailing Address - Fax:606-843-6222
Practice Address - Street 1:2659 N LAUREL RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-9075
Practice Address - Country:US
Practice Address - Phone:606-843-6195
Practice Address - Fax:606-843-6222
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY19661261QR1300X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000068622OtherBCBS-BSMC
KY000000062592OtherBCBS-LCMC
KY000000068623OtherBCBS-EBMC
KY000000245043OtherBCBS-MMC
KY000000047131OtherBCBS-AMC
KY64196611Medicaid
KY0076901Medicare PIN
KY000000047131OtherBCBS-AMC
KY0374005Medicare PIN
KY000000062592OtherBCBS-LCMC
KY0873404Medicare PIN
KY01148Medicare PIN
KY000000245043OtherBCBS-MMC
KY64196611Medicaid
KY0230801Medicare PIN