Individual provider Active NPI

Aaron Bailey

  • Physician Assistant
  • Montgomery, WV
National Provider Identifier
1043672884
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
716 Issued in WV
Practice address
401 6TH Ave
Montgomery, WV 25136-2116
Phone
(304) 442-7477
NPI assigned
Mar 22, 2016
Last updated
May 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 716 WV Primary

Addresses

Primary practice location

401 6TH Ave
Montgomery, WV 25136-2116

Mailing address

125 Fairland Dr
Nitro, WV 25143-1136
Phone (304) 550-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160601001548 WV Practitioner - Physician Assistant 4183914245 Reassigns benefits to 3 organizations
I20240822000454 OH Practitioner - Physician Assistant 4183914245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Racine Observation Medical Group, PLLCGroup PAC ID 1254601578, 19 clinicians

Practice addresses (Care Compare)

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 526-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
716WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery General Hospital, Inc CurrentSince Jan 20, 2018 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Jan 20, 2018 Accepting new patients

Locations

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1043672884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FAIRLAND DR",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431136",
            "telephone_number": "304-550-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 6TH AVE",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362116",
            "telephone_number": "304-442-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, WV

Sources for this page

Verify at the official NPI Registry.