Thomas a Bailey MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35080265B Issued in OH

Legal business name

THOMAS A BAILEY MD INC

Practice address

25 N Canfield Niles Rd
Suite 160
Youngstown, OH 44515-2328

Phone

(330) 792-2976

Fax

(330) 792-8707

NPI assigned

Oct 22, 2007

Last updated

Jul 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Andrew Bailey, MD

Title

President

Phone

(330) 792-2976

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1053500462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD",
            "address_2": "SUITE 160",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152328",
            "telephone_number": "330-792-2976",
            "fax_number": "330-792-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CANFIELD NILES RD",
            "address_2": "SUITE 160",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445152328",
            "telephone_number": "330-792-2976",
            "fax_number": "330-792-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A BAILEY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-792-2976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35080265B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2313446",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00123854",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000329418",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrew Thomas Jr.
• Anna L Thomas

• Internal Medicine Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.