IndividualActive
Hailey Baisch, MD
NPI 1619430303 · Pediatrics Physician · Eagle, ID
Provider details
- NPI number
- 1619430303
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 11924118-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
450 W State St Ste 100
Eagle, ID 83616-7055
Phone: (208) 939-1035
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (2)
- 81 N Mario Capecchi Dr Rm 1a.001Salt Lake City, UT 84113-1125Phone: (801) 662-5701
- 81 N Mario Capecchi Dr Rm 1a.001Salt Lake City, UT 84113-1125Phone: (801) 662-5701
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2022-07-26
- Certified
- 2022-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.