Active NPI
Andrew D Bailey MD
- Gastroenterology Physician
- Louisville, KY
National Provider Identifier
1104123041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 20497
- Legal business name
- ANDREW D BAILEY MD
- Practice address
- 4001 Kresge Way
Suite 130
Louisville, KY 40207-4640 - Phone
- (502) 896-8447
- NPI assigned
- Feb 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew D Bailey, MD
- Title
- Owner
- Phone
- (502) 896-8447
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 20497 | KY | Primary |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 3004708 | KY |
Addresses
Primary practice location
4001 Kresge Way
Suite 130
Louisville, KY 40207-4640
Mailing address
4001 Kresge Way
Suite 130
Louisville, KY 40207-4640
Phone (502) 896-8447
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Louisville, KY
- NPI 1083616759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302652800000",
"number": "1104123041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 KRESGE WAY",
"address_2": "SUITE 130",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074640",
"telephone_number": "502-896-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 KRESGE WAY",
"address_2": "SUITE 130",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074640",
"telephone_number": "502-896-8447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW D BAILEY MD",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-11",
"last_updated": "2011-04-13",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-896-8447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "20497",
"primary": true
},
{
"code": "364SA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "KY",
"license": "3004708",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.