Basic Information
| Provider Information | |||||||||
| NPI: | 1477759918 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAYS SURGERY GROUP, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 870 CORPORATE DR | ||||||||
| Address2: | STE. 400 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405035416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592779436 | ||||||||
| FaxNumber: | 8592771765 | ||||||||
| Practice Location | |||||||||
| Address1: | 121 W VIRGINIA AVE | ||||||||
| Address2: | SUITE H-100 | ||||||||
| City: | PINEVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 409771600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6063377288 | ||||||||
| FaxNumber: | 6063379521 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2007 | ||||||||
| LastUpdateDate: | 12/30/2008 | ||||||||
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| AuthorizedOfficialLastName: | HAYS | ||||||||
| AuthorizedOfficialFirstName: | TALMADGE | ||||||||
| AuthorizedOfficialMiddleName: | V | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGING OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6063377288 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | DN8979 | 01 | KY | MEDICARE RAILROAD | OTHER |