Provider Demographics
NPI:1366402810
Name:HAYS, CARL H (MD)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:H
Last Name:HAYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1223 S GEAR AVE
Mailing Address - Street 2:STE 208
Mailing Address - City:WEST BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52655-1682
Mailing Address - Country:US
Mailing Address - Phone:319-752-4541
Mailing Address - Fax:319-752-2972
Practice Address - Street 1:1223 S GEAR AVE
Practice Address - Street 2:STE 208
Practice Address - City:WEST BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52655-1682
Practice Address - Country:US
Practice Address - Phone:319-752-4541
Practice Address - Fax:319-752-2972
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2014-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA22023207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA51136OtherWELLMARK BCBS
IA0181727Medicaid
IA51136Medicare ID - Type Unspecified
IAA01784Medicare UPIN