Active NPI
Michele L Bagley, D.O.
- Family Medicine Physician
- Ashland, KY
National Provider Identifier
1346211653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02284
- Practice address
- 2222 Winchester Ave
Ashland, KY 41101-7847 - Phone
- (606) 325-9644
- Fax
- (606) 329-1207
- NPI assigned
- Jan 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02284 | KY | Primary |
Addresses
Primary practice location
2222 Winchester Ave
Ashland, KY 41101-7847
Mailing address
2222 Winchester Ave
Ashland, KY 41101-7847
Phone (606) 325-9644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000045746 | Other | BLUE CROSS AND BLUE SHIELD | |
| 000000583693 | Other | BLUE CROSS AND BLUE SHIELD |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02284 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Family Medicine | Family Medicine | Past | Accepting new patients |
| Dr. Melissa Davis, P.S.C. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1346211653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 WINCHESTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017847",
"telephone_number": "606-325-9644",
"fax_number": "606-329-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 WINCHESTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017847",
"telephone_number": "606-325-9644",
"fax_number": "606-329-1207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGLEY",
"first_name": "MICHELE",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "02284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD",
"identifier": "000000045746",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD",
"identifier": "000000583693",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.