Basic Information
| Provider Information | |||||||||
| NPI: | 1942278445 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAYAO | ||||||||
| FirstName: | GEORGE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 MALL RD | ||||||||
| Address2: | LAHEY HOSPITAL AND MEDICAL CENTER | ||||||||
| City: | BURLINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018050001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7817443839 | ||||||||
| FaxNumber: | 7817441597 | ||||||||
| Practice Location | |||||||||
| Address1: | 41 MALL RD | ||||||||
| Address2: | LAHEY HOSPITAL AND MEDICAL CENTER | ||||||||
| City: | BURLINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018050001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7817443839 | ||||||||
| FaxNumber: | 7817441597 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2006 | ||||||||
| LastUpdateDate: | 02/26/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 70875 | MA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 70675 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 4220202 | 01 | MA | AETNA | OTHER | 44110 | 01 | MA | US HEALTHCARE | OTHER | 04-01226 | 01 | MA | UNITED HEALTH PLANS OF NE | OTHER | 3046567 | 05 | MA | MEDICAID | 6642 | 01 | MA | HARVARD PILGRIM | OTHER | 712577 | 01 | MA | TUFTS | OTHER | B10012901 | 01 | MA | CIGNA | OTHER | BH1273072 | 01 | DEA | OTHER | 5015266 | 01 | MA | CHAMPUS | OTHER | J08125 | 01 | MA | BLUE CROSS | OTHER |