NPIMap

Organization Active NPI

Anne G Hayes Dermatology PC

Doing business as High Desert Dermatology

  • Specialist
  • Reno, NV
National Provider Identifier
1639599079
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6879 Issued in NV
Legal business name
ANNE G HAYES DERMATOLOGY PC
Doing business as
High Desert Dermatology
Practice address
509 Hammill LN
Reno, NV 89511-1004
Phone
(775) 332-0300
Fax
(775) 332-0311
NPI assigned
Apr 24, 2014
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Dr. Anne G Hayes, M.D.NPI 1902963143
Title
Owner
Phone
(775) 332-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6879 NV Primary

Addresses

Primary practice location

509 Hammill LN
Reno, NV 89511-1004

Mailing address

509 Hammill LN
Reno, NV 89511-1004
Phone (775) 332-0300

Other names 1

  • High Desert Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140505001876 NV Part B Supplier - Clinic/Group Practice 7911130646 Receives reassigned benefits from 5 practitioners
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

509 Hammill Ln
Reno, NV 89511
Phone (775) 332-0300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1639599079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-332-0300",
            "fax_number": "775-332-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-332-0300",
            "fax_number": "775-332-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE G HAYES DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-332-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "6879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.