Organization Active NPI

Lee D. Baylis, M.D. PLLC

  • Allergy & Immunology Physician
  • Clarkston, MI
National Provider Identifier
1386991461
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301061396 Issued in MI
Legal business name
LEE D. BAYLIS, M.D. PLLC
Practice address
5825 S Main St Ste 203
Clarkston, MI 48346-2983
Phone
(248) 625-7717
Fax
(248) 625-5849
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Dr. Lee Baylis, M.D.
Title
Physician/Onwer
Phone
(248) 625-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 4301061396 MI Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1386991461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 S MAIN ST STE 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 STE 203",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462983",
            "telephone_number": "248-625-7717",
            "fax_number": "248-625-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE D. BAYLIS, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "BAYLIS",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN/ONWER",
        "authorized_official_telephone_number": "248-625-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301061396",
            "primary": true
        }
    ],
    "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 8, 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.