Jeffrey R Hayes, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009868 Issued in MI

Practice address

35050 23 Mile Rd
Suite B
New Baltimore, MI 48047-3606

Phone

(586) 725-0477

Fax

(586) 725-8835

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henry Ford Cornerstone Medical Group

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1851765374
  Medicare reassignment NPD
• St. John Hospital and Medical Center

  dba Masonic Urgent Care Center

  • Urgent Care Clinic/Center
  • Saint Clair Shores, MI
  • NPI 1386892834

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1164483434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35050 23 MILE RD",
            "address_2": "SUITE B",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480473606",
            "telephone_number": "586-725-0477",
            "fax_number": "586-725-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35050 23 MILE RD",
            "address_2": "SUITE B",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480473606",
            "telephone_number": "586-725-0477",
            "fax_number": "586-725-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E031610",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4373271",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Canfield Green, M.D., PHD, FAAFS
• Mary Mooney Grettenberger
• Brendan Harms
• Noelle R Harris
• Rosanne Marie Hartman, DDS
• Daniel Hodor, DPM
• Sarah Holeton, OTR/L
• Insync Behavioral Health PLLC
• Matthew Jenkins
• Lisa Marie Johnson, M.A., CCC-SLP

• Family Medicine Physician in New Baltimore, MI
• Providers in New Baltimore, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.