David G Bailey, MD
Individual provider Active NPI Otolaryngology Physician · Marion, OH
NPI 1972602985 · NPPES record last updated Oct 21, 2014
Key facts
- NPI
- 1972602985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 350-48955 (OH)
- Practice address
- 990 S Prospect St
Suite 1
Marion, OH 43302-6283 - Phone
- (740) 383-5252
- Fax
- (740) 383-6653
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350-48955 | OH | MD | Otolaryngology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 350-48955 | OH | Yes |
Addresses
Primary practice location
990 S Prospect St
Suite 1
Marion, OH 43302-6283
Mailing address
990 S Prospect St
Suite 1
Marion, OH 43302-6283
Phone (740) 383-5252
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0514634 | Medicaid | OH | |
| 411013043 | Other | OH | MEDICARE RAILROAD |
| 000000119229 | Other | OH | ANTHEM |
Other providers in Marion, OH
- Vivek Rajan Awasty
- Brad Babines
- Back in Motion Chiropractic & Rehab, LLC
- Zach Badertscher
- Brenda Faye Bailey
- Beth Ann Baisden
- Ashonda Baker-Rollin
- Andrea Marie Baker
- Holly Louise Baker
- Matthew Ryan Baker
All providers in Marion, OH · Otolaryngology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.