Organization Active NPI

David W. Bailey MD PC

  • Ophthalmologic Surgery Clinic/Center
  • Olean, NY
National Provider Identifier
1912296443
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
133750 Issued in NY
Legal business name
DAVID W. BAILEY MD PC
Practice address
2216 W State St
Olean, NY 14760-1922
Phone
(716) 373-0991
Fax
(716) 373-0992
NPI assigned
Apr 5, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
David Wittner Bailey, M.D.NPI 1346340619
Title
Presedent
Phone
(716) 373-0991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 133750 NY Primary

Addresses

Primary practice location

2216 W State St
Olean, NY 14760-1922

Mailing address

2216 W State St
Olean, NY 14760-1922
Phone (716) 373-0991

Other identifiers 1

IdentifierTypeStateIssuer
00523973MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1912296443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601922",
            "telephone_number": "716-373-0991",
            "fax_number": "716-373-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601922",
            "telephone_number": "716-373-0991",
            "fax_number": "716-373-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. BAILEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WITTNER",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "716-373-0991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NY",
            "license": "133750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00523973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.