Provider Demographics
NPI:1033906326
Name:BAYLESS, NATHAN (MSRS, RRA, RPA)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:BAYLESS
Suffix:
Gender:
Credentials:MSRS, RRA, RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17238 STATE HIGHWAY 198
Mailing Address - Street 2:
Mailing Address - City:SAEGERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:16433-3714
Mailing Address - Country:US
Mailing Address - Phone:814-779-2593
Mailing Address - Fax:
Practice Address - Street 1:UPMC HAMOT 201 STATE STREET
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16550-0001
Practice Address - Country:US
Practice Address - Phone:814-877-2072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
478624247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist