STEPHEN BRYAN BAILEY


Address: 2100 Goshen Rd Ste 111, Fort Wayne, IN 46808-1493
Phone: 2602030998

STEPHEN BRYAN BAILEY (NPI# 1063020022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063020022
Entity Type Individual
Full Name STEPHEN BRYAN BAILEY
Practice Address 2100 Goshen Rd Ste 111
Fort Wayne
IN 46808-1493
Mailing Address 2825 Windrush Dr
Fort Wayne
IN 46808-3820
Practice Telephone 2602030998
Practice Fax Number 2602676900
Mailing Telephone 2604336726
Enumeration Date 2020-07-16
Last Update Date 2020-07-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 26017207A IN Pharmacy Service Providers

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1891852554 Stephen Bailey Chiropractor 1 E Jefferson Ave, Altamont, IL 62411-1515 2007-01-02
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1073690590 Stephen Douglas Bailey Physical Therapist 5822 Lyons View Pike, Knoxville, TN 37919-6460 2006-11-01
1972618080 Stephen A Bailey Dentist 6134 Calle Real Ste C, Goleta, CA 93117-2067 2006-08-20
1699737759 Stephen Glenn Bailey Optometrist 6010 Route 60 East, Barboursville, WV 25504 2006-04-04
1679817928 Stephen K Bailey Physical Therapist 3510 Anderson Hwy Ste 2, Powhatan, VA 23139-5846 2012-11-26
1255578324 Stephen Douglas Bailey Clinical Neuropsychologist 214 W Main St, Somerton, AZ 85350-6329 2009-01-12

Office Location

Street Address 2100 GOSHEN RD STE 111
City FORT WAYNE
State IN
Zip Code 46808-1493

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558749408 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2100 Goshen Rd Ste 111, Fort Wayne, IN 46808-1493 2015-05-12
1700395290 Frank Robert Gordon Pharmacist 2100 Goshen Rd Ste 111, Fort Wayne, IN 46808-1493 2017-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295347102 Austin Hartzog Pharmacist 5110 Value Drive, Fort Wayne, IN 46808 2020-08-21
1407358377 Bryan Black Specialist/Technologist 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 2018-03-06
1326557877 Kimberly K Kolb Occupational Therapy Assistant 1431 Runnion Ave, Fort Wayne, IN 46808 2017-09-28
1396142063 Christina Ryder Specialist/Technologist 3946 Iceway, Fort Wayne, IN 46808 2014-11-25
1912090440 Neighborcare of Indiana, LLC Pharmacy 3402 Congressional Pkwy, Ft. Wayne, IN 46808 2006-10-02
1619945888 Beth Ann Herrell Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2006-03-14
1568458990 Carolyn Warner Greer Obstetrics & Gynecology 1415 Directors Row, Fort Wayne, IN 46808 2005-09-21
1750851168 Tyler Cheney Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2018-11-28
1487123550 Michaela Mcguire Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2018-11-19
1861961088 Olivia Marquardt Specialist/Technologist 3946 Ice Way, Fort Wayne, IN 46808 2018-11-16
Find all providers in zip 46808

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295347102 Austin Hartzog Pharmacist 5110 Value Drive, Fort Wayne, IN 46808 2020-08-21
1528677622 Leslie Renee Siegel Pharmacist 11109 Parkview Plaza Dr # 1, Fort Wayne, IN 46845-1701 2020-07-24
1962048140 Andrew Quang Tran Pharmacist 6202 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 2019-11-21
1467005991 Nicholas Selby Pharmacist 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 2019-07-23
1215427042 Jerry Eugene Falls Pharmacist 9817 Chapmans Blvd, Fort Wayne, IN 46835-9194 2018-05-17
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1063900611 Juliette Peters Pharmacist 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 2018-04-30
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1790238350 Karleen Goodwin Pharmacist 3964 New Vision Dr, Fort Wayne, IN 46845-1712 2016-08-01
1699131300 Brent Alan Losier Pharmacist 3537 N Anthony Blvd, Suite A, Fort Wayne, IN 46805-1423 2016-01-11
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46808

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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