MICHAEL B. BAYLESS & ASSOCIATES LLC NPI 1689153769

NPI Information

NPI: 1689153769
Provider Name: MICHAEL B. BAYLESS & ASSOCIATES, LLC

Doing Business As: BAYLESS INTEGRATED HEALTHCARE

Classification: General Practice - 208D00000X
Entity Type: Organization

Address:
235 W WESTERN AVE
AVONDALE, AZ
ZIP 85323
Phone: (602) 230-7373
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MICHAEL B. BAYLESS & ASSOCIATES, LLC is a general practice in Avondale, AZ. MICHAEL B. BAYLESS & ASSOCIATES, LLC NPI is 1689153769. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bayless Integrated Healthcare.

The provider's business location address is:

235 W WESTERN AVE
AVONDALE, AZ
ZIP 85323-848
Phone: (602) 230-7373
Fax: (623) 230-3086

The provider's authorized official is Justin Bayless .
The authorized official title is Ceo and has the following contact phone number (602) 230-7373.

The CLIA number assigned to this NPI record is 03D2149315 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 11/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	OTC9070	ARIZONA	No
2	208000000X	Pediatrics		OTC9070	ARIZONA	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	OTC9070	ARIZONA	No
4	208D00000X	General Practice		OTC9070	ARIZONA	Yes
5	261QM1300X	Clinic/Center	Multi-Specialty	OTC9070	ARIZONA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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