Active NPI
Katsiaryna Serheeuna Huseva Bailor, MD
- Otolaryngology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME123799
- Practice address
- 249 NW 34TH St
Oklahoma City, OK 73118-8615 - Phone
- (543) 838-5499
- NPI assigned
- May 22, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | ME123799 | FL | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | ME123799 | FL | |
| Otolaryngology Physician | 207Y00000X | ME123799 | FL | Primary |
Addresses
Primary practice location
249 NW 34TH St
Oklahoma City, OK 73118-8615
Mailing address
249 NW 34TH St
Oklahoma City, OK 73118-8615
Phone (954) 383-8549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|
| ME123799 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqua Dermatology of Florida, PA | Current | Accepting new patients | |
| Marc E Lieberman MD LLC | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| Naples Center for Dermatology & Riverchase Dermatology | Current | Accepting new patients |
Locations
3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432
1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075
14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542
15310 Amberly Dr
Ste 150
Tampa, FL 33647
Phone (813) 978-8888
1600 36th St
Ste A
Vero Beach, FL 32960
Phone (772) 564-1799
38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIJFBA
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 and National Provider Directory roles.
-
dba Gardens Plastic Surgery
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1538270335
-
- Otolaryngology/Facial Plastic Surgery Physician
- Vero Beach, FL
- NPI 1104420801
-
- Plastic and Reconstructive Surgery Physician
- Blairsville, GA
- NPI 1639118847
FL
-
dba Riverchase Dermatology
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1538645775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1982861308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 NW 34TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731188615",
"telephone_number": "954-383-8549",
"fax_number": "543-838-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 NW 34TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731188615",
"telephone_number": "543-838-5499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSEVA BAILOR",
"first_name": "KATSIARYNA",
"middle_name": "SERHEEUNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "FL",
"license": "ME123799",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "FL",
"license": "ME123799",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME123799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.