Timothy S Bailey is a Surgery in Decatur, Illinois. Timothy S Bailey practices all healthcare services and medical treatments related to Surgery. The NPI Number for Timothy S Bailey is 1053378976. The last update date is 2021-10-20.
Timothy S Bailey's current location address is 2300 N Edward St, Decatur, Illinois. You can contact this provider via phone number 2178775421 and fax number 2178770234. The mailing address for Timothy S Bailey is 2300 N Edward St, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy S Bailey |
|---|---|
| Address | 2300 N Edward St, Decatur, Illinois |
| Phone Number | 2178775421 |
| Fax Number | 2178770234 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053378976 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2021-10-20 |
Provider Mailing Address Detail
| Address | 2300 N Edward St |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625264163 |
| Phone Number | 2178775421 |
| Fax Number | 2178770234 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36081501 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36081501 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy S Bailey by the Centers for Medicare & Medicaid Services?
The Timothy S Bailey has been assigned the NPI (National Provider Identifier) 1053378976. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Timothy S Bailey is located?
The Timothy S Bailey is situated at the following address: 2300 N Edward St, Decatur, IL, 625264163.
What is Timothy S Bailey's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Timothy S Bailey is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
When did Timothy S Bailey receive its 1053378976 assignment?
The Timothy S Bailey was assigned its 1053378976 on 2006-04-26, which is the date when this unique identifier was issued to the organization.
As of what date were the Timothy S Bailey's details last updated?
The information pertaining to the Timothy S Bailey, including its address, specialty, and other details, was most recently updated on 2021-10-20.