Active NPI
Sant Hayreh, M.D.
- Neurology Physician
- Mason City, IA
National Provider Identifier
1467446955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20969
- Practice address
- 250 S Crescent Dr
Mason City, IA 50401-2926 - Phone
- (641) 422-6760
- Fax
- (641) 422-6677
- NPI assigned
- Sep 12, 2005
- Last updated
- Sep 30, 2008
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 20969 | IA | Primary |
Addresses
Primary practice location
250 S Crescent Dr
Mason City, IA 50401-2926
Mailing address
250 S Crescent Dr
Mason City, IA 50401-2926
Phone (641) 422-6760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149542 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mason City Clinic PC | Neurology | Current | Accepting new patients |
Locations
250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1467446955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 S CRESCENT DR",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012926",
"telephone_number": "641-422-6760",
"fax_number": "641-422-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S CRESCENT DR",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012926",
"telephone_number": "641-422-6760",
"fax_number": "641-422-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYREH",
"first_name": "SANT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IA",
"license": "20969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149542",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.