Active NPI
Paul Hay, PA
- Physician Assistant
- Phoenix, AZ
National Provider Identifier
1730161043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4651
- Practice address
- 1300 N 12TH St
Phoenix, AZ 85006-2848 - Phone
- (602) 839-6968
- Fax
- (602) 839-4144
- NPI assigned
- Nov 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4651 | AZ | Primary |
| Physician Assistant | 363A00000X | 000864 | IA |
Addresses
Primary practice location
1300 N 12TH St
Phoenix, AZ 85006-2848
Mailing address
30024 N Holly Rd
Queen Creek, AZ 85142-8794
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930097501 | Other | IA | RR MC |
| 49023 | Other | IA | BX |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4651 | AZ | MD | Occupational Therapy Assistant |
| 000864 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1730161043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30024 N HOLLY RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851428794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 12TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "602-839-6968",
"fax_number": "602-839-4144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAY",
"first_name": "PAUL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4651",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "000864",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "930097501",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX",
"identifier": "49023",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.