Peter Bailey MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

92-5 Issued in NM

Legal business name

PETER BAILEY MD PA

Practice address

313 W Country Club Road
Roswell, NM 88201

Phone

(575) 623-4111

Fax

(575) 623-2951

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Geneva Bailey

Title

Office Manager

Phone

(575) 623-4111

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1902908015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB ROAD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-623-4111",
            "fax_number": "575-623-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB ROAD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-623-4111",
            "fax_number": "575-623-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER BAILEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-623-4111"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NM",
            "license": "92-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E2373",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyann Perez
• Katheryne Perez
• Kimberly Kay Perez, MA CCC-SLP
• Tasha Perez, PTA
• Jon E Perry, PA
• Eric Yancey Peterson, M.D.
• Yukie Ebara Pfeuffer, MED MS
• Amanda D'Layne Phillips, OTR
• Robert Owen Phillips, DBH, LMSW, LADAC
• Richard Pinon Jr., MD

• Otolaryngology Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Otolaryngology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.