Provider Demographics
NPI:1528130408
Name:HAYTON, ANNE S (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:S
Last Name:HAYTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 GANNETT DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-3266
Mailing Address - Country:US
Mailing Address - Phone:207-482-7800
Mailing Address - Fax:
Practice Address - Street 1:22 BRAMHALL ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3134
Practice Address - Country:US
Practice Address - Phone:207-662-2571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD163852085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME061113OtherANTHEM
ME4624359OtherAETNA
MEM108764OtherCIGNA
ME420450099Medicaid
NH30200470Medicaid
NH01Y007709NH01OtherANTHEM
MEAA19099OtherHPHC
MEF30850Medicare UPIN
MEP00201316Medicare ID - Type UnspecifiedRAILROAD
MEME1011Medicare ID - Type Unspecified
ME3633318OtherAETNA USHC
ME101101Medicare PIN
NHRE7997Medicare ID - Type Unspecified