Individual provider Active NPI

Robert B Hays, PA-C

  • Medical Physician Assistant
  • Prestonsburg, KY
National Provider Identifier
1477589463
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA532 Issued in KY
Practice address
286 US Highway 23 N
Suite 102
Prestonsburg, KY 41653-8732
Phone
(606) 874-0032
Fax
(606) 874-0064
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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 enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041122000577 KY Practitioner - Physician Assistant 9830154699 Reassigns benefits to 2 organizations
I20140820001121 OH Practitioner - Physician Assistant 9830154699 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Jan 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2021 Accepting new patients
North Lexington Urgent Treatment Associates PSC Medical Past Accepting new patients
Acute Care Specialists, Inc. Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA532 KY
Medical Physician Assistant 363AM0700X PA532 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

286 US Highway 23 N
Suite 102
Prestonsburg, KY 41653-8732

Mailing address

241 Hays Blvd.
Lexington, KY 40509

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
95002143MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2008.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1477589463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 HAYS BLVD.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 US HIGHWAY 23 N",
            "address_2": "SUITE 102",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538732",
            "telephone_number": "606-874-0032",
            "fax_number": "606-874-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYS",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA532",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95002143",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.