Individual provider Active NPI

Charles M Bailin, M.D.

  • Specialist
  • Euclid, OH
National Provider Identifier
1245280783
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-031712 Issued in OH
Practice address
26250 Euclid Ave
Suite 203
Euclid, OH 44132-3305
Phone
(216) 261-2333
Fax
(216) 289-0748
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-031712 OH Primary

Addresses

Primary practice location

26250 Euclid Ave
Suite 203
Euclid, OH 44132-3305

Mailing address

275 Springside Dr
#100
Akron, OH 44333-4548

Other identifiers 1

IdentifierTypeStateIssuer
0211569MedicaidOH

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 Medicine

State licenses

LicenseStateTypeSpecialty
35-031712OHMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1245280783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SPRINGSIDE DR",
            "address_2": "#100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 EUCLID AVE",
            "address_2": "SUITE 203",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323305",
            "telephone_number": "216-261-2333",
            "fax_number": "216-289-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILIN",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-031712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.