Active NPI
Jeanne Suzanne Bailey, M.D.
- Anesthesiology Physician
- Boise, ID
National Provider Identifier
1679520019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M6245
- Practice address
- 600 Robbins Rd
Suite 401
Boise, ID 83702-4565 - Phone
- (208) 489-4279
- Fax
- (208) 424-8555
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M6245 | ID | Primary |
Addresses
Primary practice location
600 Robbins Rd
Suite 401
Boise, ID 83702-4565
Mailing address
PO Box 9589
Boise, ID 83707-4589
Phone (208) 472-8123
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6245 | ID | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Consultants of Treasure Valley PLLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Boise, ID
- NPI 1124066063
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185580800000",
"number": "1679520019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9589",
"city": "BOISE",
"state": "ID",
"postal_code": "837074589",
"telephone_number": "208-472-8123",
"fax_number": "208-344-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ROBBINS RD",
"address_2": "SUITE 401",
"city": "BOISE",
"state": "ID",
"postal_code": "837024565",
"telephone_number": "208-489-4279",
"fax_number": "208-424-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JEANNE",
"middle_name": "SUZANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2007-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ID",
"license": "M6245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.