Russell P. Hayden, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD472144 Issued in PA

Practice address

205 Granite Run Dr Ste 350
Lancaster, PA 17601-6821

Phone

(610) 376-1229

Fax

(855) 281-4721

NPI assigned

Jun 10, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Shady Grove Fertility Center of Pennsylvania PLC

  • Reproductive Endocrinology Physician
  • Chesterbrook, PA
  • NPI 1922353366
  NPD (past)
• Shady Grove Fertility Reproductive Science Center

  • Reproductive Endocrinology Physician
  • Rockville, MD
  • NPI 1891849832
  NPD (past)
• Shady Grove Reproductive Science Center PC

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
  • NPI 1437232758
  NPD (past)

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1225323918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BLACKWELL RD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRANITE RUN DR STE 350",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016821",
            "telephone_number": "610-376-1229",
            "fax_number": "855-281-4721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10630 Little Patuxent Pkwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210446215",
            "country_code": "US",
            "telephone_number": "410-997-6999",
            "fax_number": "855-249-5337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 Chesterbrook Blvd",
            "address_purpose": "LOCATION",
            "city": "Chesterbrook",
            "state": "PA",
            "postal_code": "190875614",
            "country_code": "US",
            "telephone_number": "610-981-6000",
            "fax_number": "855-437-5785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 Technology Pkwy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509413",
            "country_code": "US",
            "telephone_number": "717-763-1036",
            "fax_number": "855-281-8626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Dulaney Valley Rd Ste 616",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042685",
            "country_code": "US",
            "telephone_number": "410-512-8300",
            "fax_number": "855-334-8171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "RUSSELL",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD472144",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D89788",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D89788",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "L-247622",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD472144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilyan Hawbecker, PA-C
• Alexsandra K Hawes, LPC
• Adam Christopher Hawk, PT
• Josiah Haws
• Alan Jay Hay, MD
• Shanece Hayes-Ewell
• Jennifer Noelle Hayes, MS, CCC-SLP
• Kristin Hayes, MS,ATC,PES,SES,CEAS
• Michael T Hayes, PT
• Taylor Hayes, PMHNP

• Urology Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.