Active NPI
Richard G Hayes, MD
- Diagnostic Radiology Physician
- Warren, MI
National Provider Identifier
1851318356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 043716
- Practice address
- 11800 E Twelve Mile Rd
Warren, MI 48093 - Phone
- (586) 573-5060
- Fax
- (586) 573-5197
- NPI assigned
- Jul 17, 2006
- Last updated
- Dec 21, 2011
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 043716 | MI | Primary |
Addresses
Primary practice location
11800 E Twelve Mile Rd
Warren, MI 48093
Mailing address
11800 E Twelve Mile Rd
Warren, MI 48093
Phone (586) 573-5060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2640062 | Medicaid | MI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043716 | MI | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1851318356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 E TWELVE MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "48093",
"telephone_number": "586-573-5060",
"fax_number": "586-573-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 E TWELVE MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "48093",
"telephone_number": "586-573-5060",
"fax_number": "586-573-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "RICHARD",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "043716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2640062",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.