DR. DUSTIN O'LEATH HAYES (NPI# 1184981144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184981144 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN O'LEATH HAYES |
| Credential | D.O. |
| Practice Address |
817 S Elm Pl Suite C Broken Arrow OK 74012-5369 |
| Practice Telephone | 9189404734 |
| Practice Fax Number | 9189404737 |
| Mailing Telephone | 9189404734 |
| Mailing Fax Number | 9189404737 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
5382 | OK | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 5382 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200498030A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197384 | Dustin Eric Hayes | Physician Assistant | 2829 E Highway 76, Mullins, SC 29574-6035 | 2019-07-29 |
| Street Address |
817 S ELM PL SUITE C |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428215 | Mark Steven Hamra | Allergy & Immunology | 817 S Elm Pl, Ste 107, Broken Arrow, OK 74012-5369 | 2005-06-23 |
| 1164082707 | Adriane Paige Brower | Technician, Other | 817 S Elm Pl, Broken Arrow, OK 74012-5369 | 2019-06-17 |
| 1124561113 | Dustin O. Hayes, D.o., P.C. | General Practice | 817 S Elm Pl, Suite C, Broken Arrow, OK 74012-5369 | 2016-11-23 |
| 1992254346 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 817 S Elm Pl, Suite 105, Broken Arrow, OK 74012-5369 | 2016-09-27 |
| 1790127900 | Broken Arrow Family Practice Center Plc | Clinic/Center | 817 S Elm Pl, Suite A, Broken Arrow, OK 74012-5369 | 2013-07-29 |
| 1093993933 | Catherine S Morgan Lcsw Inc | Community/Behavioral Health | 817 S Elm Pl, B, Broken Arrow, OK 74012-5369 | 2008-02-02 |
| 1538280920 | Elizabeth Dawn Campbell | Family Medicine | 817 S Elm Pl, Broken Arrow, OK 74012-5369 | 2007-04-03 |
| 1609933100 | Stephen Lester Greer | Psychiatry & Neurology | 817 S Elm Pl, Broken Arrow, OK 74012-5369 | 2007-01-03 |
| 1659457703 | Gaurangi Manek Anklesaria | Family Medicine | 817 S Elm Pl, #104, Broken Arrow, OK 74012-5369 | 2006-10-31 |
| 1912019654 | Catherine S. Morgan | Social Worker | 817 S Elm Pl, B, Broken Arrow, OK 74012-5369 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497223846 | Mind and Body Medical Clinic | Psychiatry & Neurology | 2216 Nw 164th St Ste A, Edmond, OK 73013-9078 | 2018-11-04 |
| 1306134929 | Kimberlee Van Wilson | Psychiatry & Neurology | 4851 Integris Parkway, Edmond, OK 73034 | 2011-07-17 |
| 1316124605 | Jorg Johannes Pahl | Psychiatry & Neurology | 3909 N Classen Blvd Ste 200, Oklahoma City, OK 73118-2650 | 2008-01-29 |
| 1164070314 | Lowell James Robertson | Psychiatry & Neurology | 1111 W 17th St, Tulsa, OK 74107-1886 | 2019-08-30 |
| 1588229033 | State of Oklahoma Osu Center for Health Sciences | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2019-05-09 |
| 1437683729 | F Clark Sauls, Md | Psychiatry & Neurology | 723 W Randolph Ave, Suite 6, Enid, OK 73701-3826 | 2017-04-13 |
| 1942488986 | Jane Phillips Specialty Physicians | Psychiatry & Neurology | 226 Se Debell Ave, Bldg B, Bartlesville, OK 74006-2343 | 2008-02-01 |
| 1467659953 | Samuel Gene Martin | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2007-06-28 |
| 1801966338 | Gayathri Dasharathy | Psychiatry & Neurology | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2006-11-09 |
| 1831281070 | Nicasio S Gutierrez Jr. | Psychiatry & Neurology | 909 Alameda St, Norman, OK 73071-5229 | 2006-09-28 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.