Active NPI
Roby F Hayes, M.D.
- Surgery Physician
- Portland, OR
National Provider Identifier
1922069731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD17311
- Practice address
- 10000 SE Main St Ste 327
Portland, OR 97216-2470 - Phone
- (503) 256-1575
- Fax
- (503) 253-9848
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD17311 | OR | Primary |
Addresses
Primary practice location
10000 SE Main St Ste 327
Portland, OR 97216-2470
Mailing address
10000 SE Main St Ste 327
Portland, OR 97216-2470
Phone (503) 256-5866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027800 | Medicaid | OR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1922069731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST STE 327",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162470",
"telephone_number": "503-256-5866",
"fax_number": "503-254-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST STE 327",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162470",
"telephone_number": "503-256-1575",
"fax_number": "503-253-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "ROBY",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD17311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027800",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.