Physician Compare National (NPI:1699714733)

HEALTHCARE PROVIDER: JOHN H BAILEY III D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699714733
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739362658
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121005000608
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAILEY
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	H
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	600 WESLEY WAY
	Group Practice or individual's line 1 address
City	MEADVILLE
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	163359413
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390113
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEADVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y