Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ty Bayliss, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447005855

Ty Bayliss, MD is a Student in an Organized Health Care Education/Training Program in Charleston, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone: (304) 388-5590
Fax: (304) 388-8238
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1447005855
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

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