Basic Information
Provider Information
NPI: 1952414369
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAY
FirstName: JOHN
MiddleName: MICHAEL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HAY
OtherFirstName: J.
OtherMiddleName: MICHAEL
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 2
Mailing Information
Address1: PO BOX 94645
Address2:  
City: SEATTLE
State: WA
PostalCode: 981246945
CountryCode: US
TelephoneNumber: 5094743131
FaxNumber:  
Practice Location
Address1: 101 W 8TH AVE
Address2:  
City: SPOKANE
State: WA
PostalCode: 992042307
CountryCode: US
TelephoneNumber: 5094743131
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/17/2006
LastUpdateDate: 12/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X35-07-6476-HOHN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XMD60646820WAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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