Active NPI
Gregory Walter Hayne, M.D.
- Gastroenterology Physician
- Marquette, MI
National Provider Identifier
1457325946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35052446
- Practice address
- 107 W Main St
Marquette, MI 49855-4651 - Phone
- (906) 225-4606
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35052446 | OH | Primary |
Addresses
Primary practice location
107 W Main St
Marquette, MI 49855-4651
Mailing address
26374 Network PL
Chicago, IL 60673-1263
Phone (906) 225-4606
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P52466 | Other | OH | SUMMACARE HEALTH PLAN |
| 0858451 | Medicaid | OH | |
| 101754 | Other | OH | KAISER |
| 000000030816 | Other | OH | UNICARE- LIFE AND HEALTH |
| 110160075 | Other | OH | RAILROAD |
| 000000030816 | Other | OH | ANTHEM BCBS |
| 393424 | Other | OH | WELLCARE OF OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35052446 | OH | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
Interoperability endpoints
- ghayne@direct.swgeneral.com
- ghayne94947@direct.metrohealth.org
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1457325946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26374 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731263",
"telephone_number": "906-225-4606",
"fax_number": "906-225-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W MAIN ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554651",
"telephone_number": "906-225-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNE",
"first_name": "GREGORY",
"middle_name": "WALTER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35052446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE HEALTH PLAN",
"identifier": "P52466",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0858451",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "101754",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE- LIFE AND HEALTH",
"identifier": "000000030816",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "110160075",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000030816",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF OH",
"identifier": "393424",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.