Active NPI
Bayless Pathmark Inc
- Anatomic Pathology & Clinical Pathology Physician
- Middleburg Heights, OH
National Provider Identifier
1720046865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- BAYLESS PATHMARK INC
- Practice address
- 19250 Bagley Rd Ste 101
Middleburg Heights, OH 44130-3348 - Phone
- (440) 826-0384
- Fax
- (440) 826-1910
- NPI assigned
- May 1, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Yilan Chang
- Title
- President
- Phone
- (440) 826-0384
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anatomic Pathology & Clinical Pathology Physician
- Norwalk, OH
- NPI 1104015098
O20031210000010
-
- Anatomic Pathology & Clinical Pathology Physician
- Middleburg HTS, OH
- NPI 1205025186
O20031210000010
-
- Anatomic Pathology & Clinical Pathology Physician
- Bellevue, OH
- NPI 1205242641
O20031210000010
-
- Anatomic Pathology & Clinical Pathology Physician
- Euclid, OH
- NPI 1235328121
O20031210000010
-
- Anatomic Pathology & Clinical Pathology Physician
- Alliance, OH
- NPI 1356530968
O20031210000010
-
- Anatomic Pathology & Clinical Pathology Physician
- Cleveland, OH
- NPI 1538358437
O20031210000010
-
- Anatomic Pathology & Clinical Pathology Physician
- Cleveland, OH
- NPI 1629267232
O20031210000010
-
- Anatomic Pathology & Clinical Pathology Physician
- Warrensville HTS, OH
- NPI 1669661542
O20031210000010
-
- Anatomic Pathology & Clinical Pathology Physician
- Cleveland, OH
- NPI 1770772659
O20031210000010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031210000010 | OH | Part B Supplier - Clinic/Group Practice | 3577469659 |
Receives reassigned benefits from 9 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alliance, OH; Bellevue, OH; Middleburg Heights, OH; Norwalk, OH |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
19250 Bagley Rd Ste 101
Middleburg Heights, OH 44130-3348
Mailing address
19250 Bagley Rd Ste 101
Middleburg Heights, OH 44130-3348
Phone (440) 826-0384
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147788 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2019.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548806400000",
"number": "1720046865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19250 BAGLEY RD STE 101",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303348",
"telephone_number": "440-826-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19250 BAGLEY RD STE 101",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303348",
"telephone_number": "440-826-0384",
"fax_number": "440-826-1910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYLESS PATHMARK INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2019-01-30",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "YILAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-826-0384"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2147788",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.