Jordan Lyle Bailey in Pocatello - Family Medicine
Jordan Lyle Bailey - NPI 1225124936
Jordan Lyle Bailey is a Family Medicine in Pocatello, Idaho. Jordan Lyle Bailey practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jordan Lyle Bailey is 1225124936. The last update date is 2021-08-10.
Jordan Lyle Bailey's current location address is 151 N 4th Ave, Pocatello, Idaho. You can contact this provider via phone number 2082697147 and fax number 2084166522. The mailing address for Jordan Lyle Bailey is 151 N 4th Ave, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Lyle Bailey |
|---|---|
| Address | 151 N 4th Ave, Pocatello, Idaho |
| Phone Number | 2082697147 |
| Fax Number | 2084166522 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1225124936 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2021-08-10 |
Provider Mailing Address Detail
| Address | 151 N 4th Ave |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832016300 |
| Phone Number | 2082697147 |
| Fax Number | 2084166522 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M9245 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76704 | ID | BLUE CROSS | |
| 807222600 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jordan Lyle Bailey by the Centers for Medicare & Medicaid Services (CMS)?
The Jordan Lyle Bailey has been assigned the NPI (National Provider Identifier) 1225124936. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jordan Lyle Bailey is physically located?
The Jordan Lyle Bailey is situated at the following address: 151 N 4Th Ave, Pocatello, ID 832016300.
What is the Jordan Lyle Bailey's area of specialization and corresponding taxonomy classification?
The Jordan Lyle Bailey's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jordan Lyle Bailey receive the assignment of its 1225124936 from the Centers for Medicare & Medicaid Services?
The Jordan Lyle Bailey was issued its 1225124936 by the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information regarding Jordan Lyle Bailey, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jordan Lyle Bailey, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-08-10.