Travis M Hayden (NPI# 1417911025, PAC ID# 0143328765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417911025 |
| PAC ID by PECOS | 0143328765 |
| Professional Enrollment ID | I20070606000058 |
| Full Name | Travis M Hayden |
| Organization Legal Name | EMPIRE DERMATOLOGY PLLC |
| Address |
5823 Widewaters Pkwy East Syracuse NY 13057-3084 |
| Phone Number | 3152785049 |
| Gender | M |
| Credential | PA |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9234417452 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330307 | CAYUGA MEDICAL CENTER AT ITHACA |
| Address | Phone | Organization |
|---|---|---|
| 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 | 3152785049 | EMPIRE DERMATOLOGY PLLC |
| Organization Legal Name | EMPIRE DERMATOLOGY PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian A Raphael | Dermatology | Empire Dermatology Pllc | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Allison K Cinats | Dermatology | Empire Dermatology Pllc | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Jeffrey D Cizenski | Dermatology | Empire Dermatology Pllc | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Street Address |
5823 WIDEWATERS PKWY |
| City | EAST SYRACUSE |
| State | NY |
| Zip | 13057-3084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Mae Goal | Physical Therapy | Syracuse Orthopedic Specialists, PC | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Brian A Raphael | Dermatology | Empire Dermatology Pllc | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Andrew Green | Physical Therapy | Syracuse Orthopedic Specialists, PC | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Allison K Cinats | Dermatology | Empire Dermatology Pllc | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Theodore Lambert | Physical Therapy | Syracuse Orthopedic Specialists, PC | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Caitlyn Hennessey | Physical Therapy | Syracuse Orthopedic Specialists, PC | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Jeffrey D Cizenski | Dermatology | Empire Dermatology Pllc | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Connor Delaney | Physical Therapy | Syracuse Orthopedic Specialists, PC | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3084 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Desta R Anthony | Nurse Practitioner | Loretto Rest Realty Corporation | 115 Creek Cir, East Syracuse, NY 13057-1369 |
| Douglas Berkley Tucker | Internal Medicine | Loretto Rest Realty Corporation | 115 Creek Cir, East Syracuse, NY 13057-1369 |
| Miles R Wiltse | Chiropractic | 6449 Kirkville Rd, East Syracuse, NY 13057-1600 | |
| David M Girardi | Optometry | 824 Franklin Park Dr, East Syracuse, NY 13057-1614 | |
| Mark Antosh | Obstetrics/gynecology | 824 Franklin Park Dr, East Syracuse, NY 13057-1642 | |
| Bruce J Jones | Clinical Social Worker | 160 Watertree Dr, E Syracuse, NY 13057-1921 | |
| Richard B Dixon | Chiropractic | 405 Kinne St, East Syracuse, NY 13057-2019 | |
| David Porter | Nurse Practitioner | St Josephs Hospital Health Center | 302 Upton St, East Syracuse, NY 13057-2308 |
| Ryan L D Amico | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
| Kathleen M Pyatak-hugar | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
| Find all physicians in zip 13057 | |||
| City | EAST SYRACUSE |
| Zip Code | 13057 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EAST SYRACUSE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Travis M Hayden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.