DR. GARY P HAYES (NPI# 1578566097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578566097 |
| Entity Type | Individual |
| Full Name | DR. GARY P HAYES |
| Credential | M.D. |
| Practice Address |
1470 N Broadway St Suite 130 Lebanon OH 45036-1744 |
| Mailing Address |
2912 Springboro W Ste 201 Dayton OH 45439-1674 |
| Practice Telephone | 5139324891 |
| Practice Fax Number | 5139320471 |
| Mailing Telephone | 9372978996 |
| Mailing Fax Number | 5139320471 |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35031648H | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNITED HEALTHCARE | 0104153 | 01 |
| OH | 0112318 | 05 | |
| OH | CARESOURCE | 421534506035 | 01 |
| OH | UNICARE | 000000227896 | 01 |
| OH | MEDICAL LICENSE | 35031648H | 01 |
| OH | ANTHEM | 000000227896 | 01 |
| OH | RAILROAD MEDICARE | 080191702 | 01 |
| OH | AETNA | 1007394 | 01 |
| OH | NATIONWIDE HEALTH PLAN | 22667 | 01 |
| OH | HUMANA/CHOICECARE | 3164803 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043203326 | Gary Stephen Hayes | Pediatrics | 4896 Main St, Jasper, TN 37347-3681 | 2005-08-23 |
| 1801161203 | Gary A Hayes | Psychologist | 1580 1st St, Napa, CA 94559-2841 | 2012-03-19 |
| 1104836709 | Gary W Hayes | Dentist | 859 Mankato Avenue, Winona, MN 55987 | 2006-08-08 |
| Street Address |
1470 N BROADWAY ST SUITE 130 |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265414718 | April Gardner | Family Medicine | 1470 N Broadway St, Suite 100, Lebanon, OH 45036-1206 | 2005-11-18 |
| 1932659620 | Justin Taylor | Physician Assistant | 1470 N Broadway St, Suite 100, Lebanon, OH 45036-1744 | 2016-10-06 |
| 1487090809 | Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | 1470 N Broadway St, Suite 120, Lebanon, OH 45036-1744 | 2013-05-13 |
| 1023256401 | Internal Medicine Care, Inc | Internal Medicine | 1470 N Broadway St, Suite 120, Lebanon, OH 45036-1206 | 2009-01-23 |
| 1083696538 | Broadway Family Medicine Inc | Family Medicine | 1470 N Broadway St, Suite100, Lebanon, OH 45036-1744 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604606 | Stayton Family Practice Inc | Family Medicine | 41 E Ash St, Lebanon, OR 97355-3317 | 2018-10-01 |
| 1033693031 | Heather Heck | Family Medicine | 1701 Cornwal Road, Lebanon, PA 17042-7480 | 2018-09-17 |
| 1982113148 | A1 Health Care Clinic | Family Medicine | 703 East Main Street, # 8, Lebanon, KY 40444 | 2017-09-20 |
| 1952830127 | Juliana Zamora Cubillos | Family Medicine | 120 Hospital Dr Ste 100, Lebanon, MO 65536-9227 | 2017-06-09 |
| 1245781954 | Mountain States Health Alliance | Family Medicine | 58 Carroll St Suite 3, Dept of Russell County Medical Center, Lebanon, VA 24266 | 2016-10-18 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1407288210 | Healthsource of Ohio, Inc. | Family Medicine | 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036-8195 | 2013-08-02 |
| 1598108763 | Docare,llc | Family Medicine | 680 E Grant St, Lebanon, OR 97355-4432 | 2013-04-08 |
| Find all providers in LEBANON | ||||
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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.