Provider Demographics
NPI:1932215274
Name:HAYES, WARREN C (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:C
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1400 SENATE AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:IA
Mailing Address - Zip Code:51566-1271
Mailing Address - Country:US
Mailing Address - Phone:712-623-7250
Mailing Address - Fax:712-623-7257
Practice Address - Street 1:1400 SENATE AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:RED OAK
Practice Address - State:IA
Practice Address - Zip Code:51566-1271
Practice Address - Country:US
Practice Address - Phone:712-623-7250
Practice Address - Fax:712-623-7257
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA28321207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47068731710Medicaid
IA1932215274Medicaid
F21626Medicare UPIN
IA1932215274Medicaid