Active NPI
Debra R. Bailey MD, Faap, PSC
- Pediatrics Physician
- Pikeville, KY
National Provider Identifier
1467572867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24703
- Legal business name
- DEBRA R. BAILEY MD, FAAP, PSC
- Practice address
- 419 Town Mountain Road
Suite 202
Pikeville, KY 41501-1633 - Phone
- (606) 437-1511
- Fax
- (606) 437-1626
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debra R Bailey, MD
- Title
- MD
- Phone
- (606) 437-1511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24703 | KY | Primary |
Addresses
Primary practice location
419 Town Mountain Road
Suite 202
Pikeville, KY 41501-1633
Mailing address
PO Box 1255
Pikeville, KY 41502-1255
Phone (606) 437-1511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64247034 | Medicaid | KY | |
| 65905630 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
419 Town Mountain Rd
Ste 202
Pikeville, KY 41501
Phone (606) 432-6162
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Pikeville, KY
- NPI 1457331555
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341446400000",
"number": "1467572867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1255",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415021255",
"telephone_number": "606-437-1511",
"fax_number": "606-437-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 TOWN MOUNTAIN ROAD",
"address_2": "SUITE 202",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011633",
"telephone_number": "606-437-1511",
"fax_number": "606-437-1626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBRA R. BAILEY MD, FAAP, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2012-07-05",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "606-437-1511",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "KY",
"license": "24703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64247034",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65905630",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.