Active NPI
Carolyn May Bailey, DO FACOFP
- Family Medicine Physician
- West Carrollton, OH
National Provider Identifier
1114910338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34001443
- Practice address
- 1625 S Alex Rd
West Carrollton, OH 45449-5404 - Phone
- (937) 865-0534
- Fax
- (937) 865-0721
- NPI assigned
- Aug 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 34001443 | OH | |
| Family Medicine Physician | 207Q00000X | 34001443 | OH | Primary |
Addresses
Primary practice location
1625 S Alex Rd
West Carrollton, OH 45449-5404
Mailing address
1 Prestige PL
Suite 550
Miamisburg, OH 45342-3794
Phone (937) 752-2305
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000022354 | Other | OH | ANTHEM |
| 0120385 | Other | UNITED HEALTHCARE | |
| 0370638 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34001443 | OH | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1114910338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL",
"address_2": "SUITE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453423794",
"telephone_number": "937-752-2305",
"fax_number": "937-522-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 S ALEX RD",
"city": "WEST CARROLLTON",
"state": "OH",
"postal_code": "454495404",
"telephone_number": "937-865-0534",
"fax_number": "937-865-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "CAROLYN",
"middle_name": "MAY",
"name_prefix": "Mrs.",
"credential": "DO FACOFP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-23",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "34001443",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34001443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000022354",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0120385",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0370638",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Carrollton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.