Individual provider Active NPI

Lee D Baylis, MD

  • Allergy Physician
  • Clarkston, MI
National Provider Identifier
1306837083
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
4301061396 Issued in MI
Practice address
5825 S Main St
Suite 203
Clarkston, MI 48346-2983
Phone
(248) 625-7717
NPI assigned
Nov 2, 2005
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 4301061396 MI Primary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 4301061396 MI

Addresses

Primary practice location

5825 S Main St
Suite 203
Clarkston, MI 48346-2983

Mailing address

5825 S Main St
Suite 203
Clarkston, MI 48346-2983
Phone (248) 625-7717

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
4301061396MIMDAllergy & Immunology (Internal Medicine) Physician
K3231TXMDOrthopaedic Hand Surgery Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1306837083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 S MAIN ST",
            "address_2": "SUITE 203",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462983",
            "telephone_number": "248-625-7717",
            "fax_number": "248-625-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 S MAIN ST",
            "address_2": "SUITE 203",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462983",
            "telephone_number": "248-625-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLIS",
        "first_name": "LEE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "4301061396",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MI",
            "license": "4301061396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.