Jeffery Martin Bailes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

215 5TH St
Marietta, OH 45750-4033

Phone

(740) 376-4341

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1720155914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 HARPOLD AVE",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641339",
            "telephone_number": "304-440-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 5TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457504033",
            "telephone_number": "740-376-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILES",
        "first_name": "JEFFERY",
        "middle_name": "MARTIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber M Aultman, NP
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• Alexis G Bachrach, D.O.
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• Trisha Leigh Bail, MSN, APRN, PMHNP-BC
• Amy Louise Bailey
• Ashley Baker
• Barbara Pam Baker, LSW
• Carly Jean Baker, M.A., CF-SLP
• Cassandra L Baker

• Physician Assistant in Marietta, OH
• Providers in Marietta, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.