Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35-068643 | OH |
N | 208600000X | Surgeon | 35-068643 | OH |
Y | 2086S0105X | Surgery of the Hand | 35068643 | OH |
NPI | 1710955794 |
---|---|
Provider Name | Dr. John Kevin Bailey |
First Address | Winston Salem, NC 27157-0001 |
Second Address | Columbus, OH 43210-1257 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 22/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0159886 | (05) | OH |
H90419 | (02) | OH |
P01603932 | RAILROAD MEDICARE (01) | OH |