Provider Demographics
NPI:1053614537
Name:HAYS, TONI J (PA-C)
Entity type:Individual
Prefix:MS
First Name:TONI
Middle Name:J
Last Name:HAYS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 COURT ST
Mailing Address - Street 2:
Mailing Address - City:CASTINE
Mailing Address - State:ME
Mailing Address - Zip Code:04421
Mailing Address - Country:US
Mailing Address - Phone:207-326-4348
Mailing Address - Fax:
Practice Address - Street 1:102 COURT ST
Practice Address - Street 2:
Practice Address - City:CASTINE
Practice Address - State:ME
Practice Address - Zip Code:04421
Practice Address - Country:US
Practice Address - Phone:207-326-4348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA1335363A00000X
NC0010-02560363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1053614537Medicaid