Jeffrey D Bailey, Inc.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

036424 Issued in OH

Legal business name

JEFFREY D BAILEY, INC.

Practice address

5315 Lenore Dr
Mentor, OH 44060-1650

Phone

(440) 257-6752

Fax

(216) 928-0141

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Bailey, CRNA

Title

Owner

Phone

(440) 257-6752

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730223561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 LENORE DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601650",
            "telephone_number": "440-257-6752",
            "fax_number": "216-928-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 LENORE DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601650",
            "telephone_number": "440-257-6752",
            "fax_number": "216-928-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D BAILEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-257-6752",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "036424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0918672",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHO BWC#",
            "identifier": "280601212-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet M. Blanchard, M.D. LTD.
• Nicole Joan Janusz, CMS, QMHS
• Christina Jefferies
• Janell Jefferson
• Angela K Jeffery, LPC
• Jeffrey MP Siminovitch MD Inc
• Cindy J Jenkins
• Sharlesa Jenkins, QMHS
• Jennifer Greer MD LLC
• Juavan Jennings

• Certified Registered Nurse Anesthetist in Mentor, OH
• Providers in Mentor, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.