MRS. HEATHER LYNN BAILEY PHYSICIAN ASSISTANT NPI 1417058298

NPI Information

  • NPI: 1417058298
  • Provider Name: MRS. HEATHER LYNN BAILEY, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 656 ELMWOOD AVE
    BUFFALO, NY
    ZIP 14222
  • Phone: (716) 883-0515

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NPI Details

MRS. Heather Lynn Bailey, PHYSICIAN ASSISTANT is a medical physician assistant in Buffalo, NY with 22 years of experience. MRS. Heather Lynn Bailey, PHYSICIAN ASSISTANT NPI is 1417058298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

656 ELMWOOD AVE
BUFFALO, NY
ZIP 14222-836
Phone: (716) 883-0515
Fax: (716) 883-8764

The NPI 1417058298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 10/27/2011.

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
1363AM0700XPhysician AssistantMedical0101091NYSNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
181350009MEDICAIDNEW YORK

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: 11/21/2025

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