John H Bailey III, D.O.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Meadville, PA
NPI 1699714733 · NPPES record last updated Aug 30, 2022
Key facts
- NPI
- 1699714733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- OS004788L (PA)
- Practice address
- 600 Wesley Way
Meadville, PA 16335-9413 - Phone
- (814) 332-4595
- Fax
- (814) 332-4590
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meadville Medical Center
Practice addresses (Care Compare)
751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5155
Hospital & facility affiliations
- Meadville Medical Center
- Upmc Williamsport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121005000608 | PA | Practitioner - Internal Medicine |
9739362658 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD045561L | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadville Medical Center | Current |
Accepting new patients | |
| Meadville Medical Center | Current |
Accepting new patients |
Locations
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | OS004788L | PA | Yes |
Addresses
Primary practice location
600 Wesley Way
Meadville, PA 16335-9413
Mailing address
600 Wesley Way
Meadville, PA 16335-9413
Phone (814) 332-4595
NPI Registry JSON
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1699714733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WESLEY WAY",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163359413",
"telephone_number": "814-332-4595",
"fax_number": "814-332-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WESLEY WAY",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163359413",
"telephone_number": "814-332-4595",
"fax_number": "814-332-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JOHN",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "PA",
"license": "OS004788L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meadville, PA
- Barbara K Atts-Hoffman
- Avante Center for Counseling and Psychological Services, Inc.
- Awakening Minds Counseling LLC
- Bailey Medical Associates, PC
- Alan Deforest Bailey
- Robin L Bailey
- Todd Aldan Bailey
- Jeffrey Baldwin
- John Balk
- Kristina J Balog
All providers in Meadville, PA · Geriatric Medicine (Internal Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.