William Justin Hayes MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

E3907 Issued in AR

Legal business name

WILLIAM JUSTIN HAYES MD PA

Practice address

920 S. Hwy 45
Bonanza, AR 72916

Phone

(479) 650-3853

Fax

(479) 638-0052

NPI assigned

Jul 9, 2010

Last updated

Oct 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Justin Hayes, M.D.

Title

President / Owner

Phone

(479) 255-6150

Specialties & licenses 1

Addresses

Other names 1

• Bonanza Family Clinic Other name

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1285946004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "HACKETT",
            "state": "AR",
            "postal_code": "729370843",
            "telephone_number": "479-255-6150",
            "fax_number": "479-250-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S. HWY 45",
            "city": "BONANZA",
            "state": "AR",
            "postal_code": "72916",
            "telephone_number": "479-650-3853",
            "fax_number": "479-638-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM JUSTIN HAYES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "479-255-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AR",
            "license": "E3907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonanza Family Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie Elizabeth Cormier McBroom, PHARMD
• Pro-Care Family Health of Arkansas, LLC
• River Valley Primary Care Services (Bonanza Community Pharmacy)
• River Valley Primary Care Services (Bonanza Wellness Center)
• Brittney Beland Schmidt, DNP, NP-C

• Primary Care Clinic/Center in Bonanza, AR
• Providers in Bonanza, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.