1962442707 NPI number — DR. SARAH JABLECKI HAYS MD

Table of content: DR. SARAH JABLECKI HAYS MD (NPI 1962442707)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962442707 NPI number — DR. SARAH JABLECKI HAYS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAYS
Provider First Name:
SARAH
Provider Middle Name:
JABLECKI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1962442707
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3240 EDWARDS LAKE PARKWAY
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35235-3218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-949-2020
Provider Business Mailing Address Fax Number:
205-949-1400

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ONE WEST LAKESHORE DRIVE
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35209-7271
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-941-2020
Provider Business Practice Location Address Fax Number:
205-397-4190
Provider Enumeration Date:
06/08/2006

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: 207W00000X , with the licence number:  00004517 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 21256367107 . This is a "BEECHSTREET" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: P00478822 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 08-00315 . This is a "SECURE HORIZIONS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 4090183 . This is a "AETNA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: C67158 . This is a "VIVA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: C67158 . This is a "HEALTHSPRING" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009912248 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 08-00315 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 723782 . This is a "FIRST HEALTH" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51544979 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: C67158 . This is a "SENIORS FIRST" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: C67158 . This is a "VIVA MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051034454 . This is a "FEDERAL BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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