Basic Information
| Provider Information | |||||||||
| NPI: | 1669422291 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAYS | ||||||||
| FirstName: | TALMADGE | ||||||||
| MiddleName: | V | ||||||||
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| Credential: | M. D. | ||||||||
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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: | |||||||||
| City: | PINEVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 409771600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6063377002 | ||||||||
| FaxNumber: | 6063373393 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 10/28/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 14797 | KY | Y | Allopathic & Osteopathic Physicians | Family Medicine | 208600000X | 14797 | KY | N | Allopathic & Osteopathic Physicians | Surgery | 207R00000X | 14797 | KY | N | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | P00644899 | 01 | KY | MEDICARE RAILROAD | OTHER | 64147978 | 05 | KY | MEDICAID | 012087755 | 01 | KY | RR MEDICARE | OTHER |