Earle Eugene Baillie, M.D,

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

7122 Issued in SC

Practice address

800 N Fant St
Anderson, SC 29621-5708

Phone

(800) 779-4858

Fax

(864) 231-6448

NPI assigned

Feb 3, 2006

Last updated

Oct 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1497727457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E CALHOUN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215803",
            "telephone_number": "800-779-4858",
            "fax_number": "864-231-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215708",
            "telephone_number": "800-779-4858",
            "fax_number": "864-231-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILLIE",
        "first_name": "EARLE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "7122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071228",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00180683A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rogene Avery
• Daniel Babcock, PHARMD
• Belinda L. Bacher, O.T.
• Preet K Bagi, MD
• Susan Bailey, RN
• Adriane Baker
• Angie Lyn Baker
• Dole P Baker, MD
• John Mark Baker, MD
• Karen Andrea Baker, MCD, CCC-SLP

• Anatomic Pathology & Clinical Pathology Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.