Active NPI
Robert G Baylis, CRNA
- Certified Registered Nurse Anesthetist
- Ocean Springs, MS
National Provider Identifier
1609986801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R111550
- Practice address
- 3882 Bienville Blvd
Ocean Springs, MS 39564-5803 - Phone
- (228) 872-6290
- Fax
- (228) 762-0065
- NPI assigned
- Aug 30, 2006
- Last updated
- May 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R111550 | MS | Primary |
Addresses
Primary practice location
3882 Bienville Blvd
Ocean Springs, MS 39564-5803
Mailing address
PO Box 1684
Pascagoula, MS 39568-1684
Phone (228) 762-9080
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009994045 | Other | MS | ALACAID |
| 16904200 | Other | MS | USDOL |
| 0122898 | Medicaid | MS | |
| 587210340C | Other | MS | BLUECROSS |
| 587210340C | Other | MS | AHS STATE |
| 430072663 | Other | MS | MEDICARE RAILROAD |
Other names 1
- Robert G Baylis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R111550 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Coast Anesthesia PA | Past | Accepting new patients | |
| Mississippi Eye Surgery Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mississippi Eye Surgery Center Facility
- Ambulatory Surgical Clinic/Center
- Ocean Springs, MS
- NPI 1891951885
-
- Anesthesiology Physician
- Biloxi, MS
- NPI 1679693782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1609986801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1684",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395681684",
"telephone_number": "228-762-9080",
"fax_number": "228-762-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3882 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395645803",
"telephone_number": "228-872-6290",
"fax_number": "228-762-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLIS",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R111550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALACAID",
"identifier": "009994045",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDOL",
"identifier": "16904200",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122898",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "587210340C",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHS STATE",
"identifier": "587210340C",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "430072663",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "BAYLIS",
"middle_name": "G",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.