Organization Active NPI

David G Bailey MD,Inc

  • Otolaryngology Physician
  • Marion, OH
National Provider Identifier
1346515418
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
350-48955 Issued in OH
Legal business name
DAVID G BAILEY MD,INC
Practice address
990 S Prospect St
Suite 1
Marion, OH 43302-6283
Phone
(740) 383-5252
Fax
(740) 383-6653
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. David Bailey, MD
Title
Owner
Phone
(740) 383-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 350-48955 OH Primary

Addresses

Primary practice location

990 S Prospect St
Suite 1
Marion, OH 43302-6283

Mailing address

990 S Prospect St
Suite 1
Marion, OH 43302-6283
Phone (740) 383-5252

Other identifiers 1

IdentifierTypeStateIssuer
0514634MedicaidOH

National Provider Directory

National Provider Directory

Locations

990 S Prospect St
Ste 1
Marion, OH 43302
Phone (740) 383-5252

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1346515418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 S PROSPECT ST",
            "address_2": "SUITE 1",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026283",
            "telephone_number": "740-383-5252",
            "fax_number": "740-383-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S PROSPECT ST",
            "address_2": "SUITE 1",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026283",
            "telephone_number": "740-383-5252",
            "fax_number": "740-383-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G BAILEY MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-383-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "350-48955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514634",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.