Active NPIIndividual provider

Evan P Bailey, MD

Pediatrics, Pediatric Pulmonology in Worcester, Massachusetts

NPI Number1720240047
Practice location
55 Lake Ave N, Pediatric Pulmonology, Worcester, MA 01655-0002
Fax
508-856-2609
Last updated
November 9, 2020

Evan P Bailey is a Pediatrics, Pediatric Pulmonology based in Worcester, MA. Evan P Bailey practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Evan P Bailey is 1720240047 and holds a License No. 247765 (MA). The current practice location address for Evan P Bailey is 55 Lake Ave N, Pediatric Pulmonology, Worcester, MA 01655-0002 and can be reached out via phone at 508-856-4155 and via fax at 508-856-2609.

Provider Profile Details

NPI Number
1720240047
Provider Name
Evan P Bailey
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Pediatric Pulmonology, Worcester, MA 01655-0002
Phone Number
508-856-4155
Fax Number
508-856-2609
Primary Taxonomy
Pediatrics, Pediatric Pulmonology · 2080P0214X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2008
Last Update Date
November 9, 2020
Certification Date
November 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Pediatric Pulmonology
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-856-4155
Fax Number
508-856-2609
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number (1)
247765
License State (1)
MA
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
247765
License State (2)
MA
Taxonomy (2)
Pediatrics, Pediatric Pulmonology · 2080P0214X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Evan P Bailey, MD?

The NPI number of Evan P Bailey, MD is 1720240047. It was assigned on June 27, 2008 and is currently active in the NPPES registry.

What is the specialty of Evan P Bailey, MD?

Evan P Bailey, MD is registered under the primary taxonomy Pediatrics, Pediatric Pulmonology (code 2080P0214X), licensed in MA under license number 247765.

Where does Evan P Bailey, MD practice?

The practice location is 55 Lake Ave N, Pediatric Pulmonology, Worcester, MA 01655-0002. The office can be reached at 508-856-4155 (phone) or 508-856-2609 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720240047 directly on the NPPES registry website.

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