NPIMap

Rickie Vance Hay, M.D.

Individual provider Active NPI Nuclear Medicine Physician · Ada, MI

NPI 1376795252 · NPPES record last updated Oct 22, 2008

Key facts

NPI
1376795252
Entity type
Individual (NPI type 1)
Primary specialty
Nuclear Medicine Physician 207U00000X
License
4301060317 (MI)
Practice address
7954 Aspenwood Dr SE
Ada, MI 49301-9604
Phone
(616) 682-0792
Fax
(616) 682-9410
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301060317MIMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Heart Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 4301060317 MI Yes
Nuclear Cardiology Physician 207UN0901X 4301060317 MI
Nuclear Imaging & Therapy Physician 207UN0902X 4301060317 MI
In Vivo & In Vitro Nuclear Medicine Physician 207UN0903X 4301060317 MI

Addresses

Primary practice location

7954 Aspenwood Dr SE
Ada, MI 49301-9604

Mailing address

7954 Aspenwood Dr SE
Ada, MI 49301-9604
Phone (616) 682-0792

Other providers in Ada, MI

All providers in Ada, MI · Nuclear Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.