Provider Demographics
NPI:1235111220
Name:BAYLES, ROBERT HUGH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HUGH
Last Name:BAYLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15670 REDMOND WAY
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3831
Mailing Address - Country:US
Mailing Address - Phone:425-702-8689
Mailing Address - Fax:206-320-5191
Practice Address - Street 1:15670 REDMOND WAY
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3831
Practice Address - Country:US
Practice Address - Phone:425-702-8689
Practice Address - Fax:206-320-5191
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00025275207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8109480Medicaid
WA99776OtherLABOR & INDUSTRIES
WA080159865OtherMEIDCARE RAILROAD
WABA0038OtherBLUE SHIELD
WAGAB03845Medicare PIN
WA080159865OtherMEIDCARE RAILROAD