Active NPI
Pamela Bailey, MD
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1962582387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J6865
- Practice address
- 6621 Fannin St
Houston, TX 77030-2303 - Phone
- (832) 824-5497
- Fax
- (832) 825-5424
- NPI assigned
- Oct 17, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | J6865 | TX | |
| Pediatrics Physician | 208000000X | J6865 | TX | Primary |
Addresses
Primary practice location
6621 Fannin St
Houston, TX 77030-2303
Mailing address
6621 Fannin St
Houston, TX 77030-2303
Phone (832) 824-5497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134949002 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6865 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208908800000",
"number": "1962582387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302303",
"telephone_number": "832-824-5497",
"fax_number": "832-825-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302303",
"telephone_number": "832-824-5497",
"fax_number": "832-825-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "PAMELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2008-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "TX",
"license": "J6865",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "J6865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134949002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.