Organization Active NPI

Debra R. Bailey MD, Faap, PSC

  • Pediatrics Physician
  • Pikeville, KY
National Provider Identifier
1467572867
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24703 Issued in KY
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

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Mrs. Debra R Bailey, MDNPI 1457331555
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
64247034MedicaidKY
65905630MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.