Mitchell Edward Bailey in Santa Rosa - Surgery

Mitchell Edward Bailey - NPI 1366422008

Mitchell Edward Bailey is a Surgery in Santa Rosa, California. Mitchell Edward Bailey practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mitchell Edward Bailey is 1366422008. The last update date is 2018-10-26.

Mitchell Edward Bailey's current location address is 30 Mark West Springs Rd, Santa Rosa, California. You can contact this provider via phone number 7073289673. The mailing address for Mitchell Edward Bailey is 30 Mark West Springs Rd, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitchell Edward Bailey
Address 30 Mark West Springs Rd, Santa Rosa, California
Phone Number 7073289673
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1366422008
Provider Enumeration Date 2006-01-19
Last Updated Date 2018-10-26

Provider Mailing Address Detail

Address 30 Mark West Springs Rd
City Santa Rosa
State California (CA)
Post Code 954031436
Phone Number 7073289673
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No G25349
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;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G253490 CA --
P00270015 CA RAILROAD MEDICARE
00G253490 CA BLUE SHIELD OF CALIFORNIA

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FAQs about Mitchell Edward Bailey

What is the unique identifier code issued to Mitchell Edward Bailey by the Centers for Medicare & Medicaid Services (CMS)?

The Mitchell Edward Bailey has been assigned the NPI (National Provider Identifier) 1366422008. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Mitchell Edward Bailey's physical address?

The Mitchell Edward Bailey is physically located at 30 Mark West Springs Rd, in the city of Santa Rosa, CA, with the postal code 954031436.

What is the area of specialization for Mitchell Edward Bailey, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mitchell Edward Bailey is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Mitchell Edward Bailey receive its 1366422008 assignment from the Centers for Medicare & Medicaid Services?

The Mitchell Edward Bailey was assigned its 1366422008 by the Centers for Medicare & Medicaid Services on 2006-01-19.

As of what date was the information pertaining to Mitchell Edward Bailey, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mitchell Edward Bailey, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-10-26.

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