Basic Information
| Provider Information | |||||||||
| NPI: | 1669573390 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TALMADGE HAYS PSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 870 CORPORATE DR | ||||||||
| Address2: | STE. 400 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405035416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592779436 | ||||||||
| FaxNumber: | 8599770418 | ||||||||
| Practice Location | |||||||||
| Address1: | 121 W VIRGINIA AVE | ||||||||
| Address2: | |||||||||
| City: | PINEVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 409771600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6063377002 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 05/15/2008 | ||||||||
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| AuthorizedOfficialLastName: | HAYS | ||||||||
| AuthorizedOfficialFirstName: | TALMADGE | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 6063377002 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 14797 | KY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 012087755 | 01 | KY | RR MEDICARE | OTHER | DB0951 | 01 | KY | RR MEDICARE | OTHER | 31001076 | 05 | KY | MEDICAID |