MEDICARE: DR. JOHN KEVIN BAILEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	35-068643	OH
2	2086S0105X	Surgery of the Hand (Surgery) Physician	35068643	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01603932	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710955794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN KEVIN BAILEY MD

Provider Business Mailing Address
First Line	:	MEDICAL CENTER BLVD.
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-0001
Country	:	US
Telephone Number	:	336-716-1332
Fax Number	:

Provider Business Practice Location Address
First Line	:	1581 DODD DR FL 1
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43210-1257
Country	:	US
Telephone Number	:	614-293-2876
Fax Number	:	614-293-3472

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/22/2019

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Directions to “ DR. JOHN KEVIN BAILEY MD” Practice Location

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