Bailey O'Bannon

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110005013 Issued in VA

Practice address

1870 Amherst St Ste C
Winchester, VA 22601-2841

Phone

(540) 536-0153

Fax

(540) 536-0154

NPI assigned

Jun 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bobannon116012@soc.inova.org
• Direct secure messaging: bobannon116012@valleyhealth.direct-ci.com

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.

• Valley Physician Enterprise, Inc

  • Surgery Physician
  • Winchester, VA
  • NPI 1538316203
  Medicare reassignment
• Valley Regional Enterprises, Inc

  dba Valley Health Urgent Care

  • Urgent Care Clinic/Center
  • Winchester, VA
  • NPI 1235178591
  Medicare reassignment
• Valley Physician Enterprise, Inc.

  dba Valley Health Fertility

  • Obstetrics & Gynecology Physician
  • Winchester, VA
  • NPI 1255222535
  NPD
• Valley Physician Enterprise, Inc.

  dba Valley Health Rheumatology

  • Rheumatology Physician
  • Winchester, VA
  • NPI 1366128514
  NPD
• East Mountain Health Physicians, Inc.

  dba Valley Health Center for Orthopedic Excellence

  • Orthopaedic Surgery Physician
  • Martinsburg, WV
  • NPI 1437885365
  NPD
• East Mountain Health Physicians, Inc.

  dba Valley Health Multispecialty Clinic

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Martinsburg, WV
  • NPI 1588149348
  NPD
• Warren Memorial Hospital, Inc.

  dba Urgent Care Center

  • General Practice Physician
  • Front Royal, VA
  • NPI 1407012982
  NPD (past)
• East Mountain Health Physicians Inc

  dba Valley Health Quick Care Spring Mills

  • Urgent Care Clinic/Center
  • Falling Waters, WV
  • NPI 1396284089
  NPD (past)
• East Mountain Health Physicians Inc.

  dba Valley Health Family Medicine - Briarwood

  • Family Medicine Physician
  • Martinsburg, WV
  • NPI 1114460797
  NPD (past)
• East Mountain Health Physicians, Inc.

  dba Valley Health Employer Health

  • Occupational Medicine Clinic/Center
  • Ranson, WV
  • NPI 1841711512
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396126330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 FALL HILL AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013000",
            "telephone_number": "540-372-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 AMHERST ST STE C",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012841",
            "telephone_number": "540-536-0153",
            "fax_number": "540-536-0154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Oak Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Ranson",
            "state": "WV",
            "postal_code": "254384879",
            "country_code": "US",
            "telephone_number": "304-930-0001",
            "fax_number": "681-252-1843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Administrative Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254046378",
            "country_code": "US",
            "telephone_number": "304-350-3200",
            "fax_number": "304-350-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Riverton Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226306768",
            "country_code": "US",
            "telephone_number": "540-635-0700",
            "fax_number": "540-635-8174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3310 Fall Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013000",
            "country_code": "US",
            "telephone_number": "540-372-4221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1179 T J Jackson Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Falling Waters",
            "state": "WV",
            "postal_code": "254194698",
            "country_code": "US",
            "telephone_number": "681-242-3713",
            "fax_number": "686-242-2248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415A South St",
            "address_purpose": "LOCATION",
            "city": "Front Royal",
            "state": "VA",
            "postal_code": "226302115",
            "country_code": "US",
            "telephone_number": "540-636-0495",
            "fax_number": "540-636-0450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BANNON",
        "first_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "2078",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bobannon116012@soc.inova.org",
            "affiliation": "N",
            "address_1": "1870 Amherst St Ste C",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaniece Nunn
• Catherine Nutter, PTA
• Connie Nutter
• NW Works, Inc.
• Naana Nyarko-Asante
• Laurel Ann O'Barto, PA-C
• Lindsey Morgan Nordstrom O'Brien, MD
• Margaret Riley O'Brien
• Jane M O'Doherty, RD
• Philip J O'Donnell, MD

• Medical Physician Assistant in Winchester, VA
• Providers in Winchester, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.