Provider Demographics
NPI:1437114873
Name:BAILEY, SCOTT HIGGINS (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:HIGGINS
Last Name:BAILEY
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 1:255 W LANCASTER AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1763
Mailing Address - Country:US
Mailing Address - Phone:610-325-3880
Mailing Address - Fax:610-325-3887
Practice Address - Street 1:255 W LANCASTER AVE STE 201
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301
Practice Address - Country:US
Practice Address - Phone:610-325-3880
Practice Address - Fax:610-325-3887
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044655E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A60120Medicare UPIN
420706TGWMedicare PIN
PA0134527000OtherBCBS KEYSTONE E
PA420706OtherBCBS HIGHMARK
PA0134527000OtherBCBS AMERIHEALTH
PA2330388000OtherBCBS KEYSTONE E GRP
PA2330388000OtherBCBS PERCHOICE GRP
PA0134527000OtherBCBS PERCHOICE
PA2330388000OtherBCBS AMERIHEALTH GRP
4319595OtherAETNA US HEALTHCARE
MD044655EOtherMEDICAL LICENSE
PA1652895OtherBCBS HIGHMARK GRP
3716919OtherAETNA US HEALTHCARE HMO
A60120Medicare UPIN
420706TGWMedicare PIN