Active NPI
Dominique C Bailey, MD, FAAP
- Pediatrics Physician
- Easton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD040747L
- Practice address
- 2401 Northampton St Ste 210
Easton, PA 18045-2764 - Phone
- (484) 591-7470
- NPI assigned
- Sep 30, 2005
- Last updated
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD76939 | GA | |
| Pediatrics Physician | 208000000X | MD040747L | PA | Primary |
Addresses
Primary practice location
2401 Northampton St Ste 210
Easton, PA 18045-2764
Mailing address
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD76939 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Pediatrics | Current | Accepting new patients |
Locations
1611 Pond Rd
Ste 400
Allentown, PA 18104
Phone (484) 273-4836
2100 Mack Blvd
Fl 4
Allentown, PA 18103
2401 Northampton St
Ste 210
Easton, PA 18045
Phone (484) 591-7470
101 W 7th St
Ste 2C
Pennsburg, PA 18073
Phone (215) 679-9321
320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240
Interoperability endpoints
- dbailey812255@direct2.lvhn.org
- dominique.bailey@lbp.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
dba LVPG Family and Internal Medicine - East Stroudsburg
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
dba LVPG Family Medicine - Whitehall
- Family Medicine Physician
- Whitehall, PA
- NPI 1245568401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1801883384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 BLUE RIDGE OVERLOOK",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134431",
"telephone_number": "706-946-5608",
"fax_number": "706-374-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 NORTHAMPTON ST STE 210",
"city": "EASTON",
"state": "PA",
"postal_code": "180452764",
"telephone_number": "484-591-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "DOMINIQUE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD, FAAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "MD76939",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD040747L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.