NPIMap

Individual provider Active NPI

Laura M Bailey, MD

  • Internal Medicine Physician
  • Willoughby, OH
National Provider Identifier
1770699019
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-062378 Issued in OH
Practice address
36100 Euclid Ave
#240
Willoughby, OH 44094
Phone
(440) 953-6294
Fax
(440) 918-4687
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-062378 OH Primary

Addresses

Primary practice location

36100 Euclid Ave
#240
Willoughby, OH 44094

Mailing address

36100 Euclid Ave
Ste 240
Willoughby, OH 44094-4427
Phone (800) 354-1985

Other identifiers 1

IdentifierTypeStateIssuer
0164585MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laura.bailey@lhpg.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070621000501 OH Practitioner - Internal Medicine 4385743939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Hospital System, Inc.Group PAC ID 6002713922, 92 clinicians

Practice addresses (Care Compare)

36001 Euclid Avneue
Suite C7
Willoughby, OH 44094-4650
Phone (440) 602-6710

36100 Euclid Ave
Willoughby, OH 44094-4427

36100 Euclid Ave
Suite 450
Willoughby, OH 44094-4488
Phone (440) 946-9555

36500 Euclid Ave
Willoughby, OH 44094-4455
Phone (440) 516-0530

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Enhanced Rehabilitation Services, Inc Home health agency, Chesterland, OH, CCN 368122
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Ohio Living Breckenridge Village Nursing home, Willoughby, OH, CCN 365581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-062378OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Internal Medicine CurrentSince May 23, 2007 Accepting new patients
Lake Hospital System Inc Internal Medicine Current Accepting new patients
Lake Hospital System, Inc Internal Medicine CurrentSince May 23, 2007 Accepting new patients
Lake Hospital System, Inc Internal Medicine Past Accepting new patients

Locations

7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899

6270 N Ridge Rd
Madison, OH 44057
Phone (440) 428-8292

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36100 Euclid Ave
Ste 240
Willoughby, OH 44094
Phone (216) 953-6294

Interoperability endpoints

  • Direct secure messaging: lbailey37812@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1770699019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE",
            "address_2": "STE 240",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944427",
            "telephone_number": "800-354-1985",
            "fax_number": "440-350-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE",
            "address_2": "#240",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-953-6294",
            "fax_number": "440-918-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-062378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164585",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.bailey@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "36100 Euclid Ave",
            "address_2": "#240",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.