1003963976 NPI number — BENJAMIN HAYES MD, PHD

Table of content: BENJAMIN HAYES MD, PHD (NPI 1003963976)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003963976 NPI number — BENJAMIN HAYES MD, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAYES
Provider First Name:
BENJAMIN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, PHD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003963976
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/18/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3098 CAMPBELL STATION PKWY STE A201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING HILL
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37174-4405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-302-5000
Provider Business Mailing Address Fax Number:
615-302-5006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3098 CAMPBELL STATION PKWY STE A201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING HILL
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37174-4405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-302-5000
Provider Business Practice Location Address Fax Number:
615-302-5006
Provider Enumeration Date:
01/04/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207NP0225X , with the licence number:  41674 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4155108 . This is a "BCBS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".