MITCHELL EDWARD BAILEY (NPI# 1366422008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366422008 |
Entity Type | Individual |
Full Name | MITCHELL EDWARD BAILEY |
Credential | M.D. |
Practice Address |
30 Mark West Springs Rd Santa Rosa CA 95403-1436 |
Mailing Address |
9030 W Sahara Ave # 118 Las Vegas NV 89117-5744 |
Practice Telephone | 7073289673 |
Mailing Telephone | 7024533799 |
Mailing Fax Number | 7024535741 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2018-10-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | G25349 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD OF CALIFORNIA | 00G253490 | 01 |
CA | 00G253490 | 05 | |
CA | RAILROAD MEDICARE | P00270015 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235172438 | Mitchell H Bailey | Nurse Anesthetist, Certified Registered | 167 North Main Street, Tuba City, AZ 86045-0600 | 2006-06-14 |
Street Address |
30 MARK WEST SPRINGS RD |
City | SANTA ROSA |
State | CA |
Zip Code | 95403-1436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588280374 | Richard Parke | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2020-06-17 |
1093340366 | Erin Renee Flora | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2020-03-07 |
1497390892 | Samantha Caceres | Registered Nurse | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2019-11-10 |
1982248761 | Jayson Geronimo Santiago | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2019-11-04 |
1396206165 | Barbara Walston | Nurse Practitioner | 30 Mark West Springs Rd, Santa Rosa, CA 95403 | 2019-03-26 |
1134625965 | Vanessa Elizabeth Ramirez | Student in an Organized Health Care Education/Training Program | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2018-04-02 |
1609313212 | Katherine Schwartz | Physical Therapist | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2017-01-21 |
1194120451 | California Pacific Pathology Medical Group | Pathology | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2014-10-29 |
1306107271 | Frederick William Romberg | Anesthesiology | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2012-06-06 |
1740509710 | Khushdeep Kaur Grewal | Family Medicine | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2010-05-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
Find all providers in zip 95403 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
1780811927 | Samuel Chaim Schecter | Surgery | 401 Bicentennial Way, Suite 260, The Permanente Medical Group, Santa Rosa, CA 95403 | 2009-06-15 |
1225103369 | Healthy Steps Weight Loss Center Medical Corporation | Surgery | 4730 Hoen Avenue, Santa Rosa, CA 95405 | 2006-11-22 |
1528133642 | Mohammad H Mir-sepasi | Surgery | 4658 Kilarney Cir, Santa Rosa, CA 95403-0105 | 2006-11-22 |
1881769966 | Robert Earl Richardson | Surgery | 1812 Happy Valley Rd, Santa Rosa, CA 95409 | 2006-11-22 |
1346324415 | Roger W. Kirchner | Surgery | 3715 Autumn Glen Ct, Santa Rosa, CA 95403-0994 | 2006-10-25 |
1992716450 | North Bay Medical Group, Inc. | Surgery | 3850 Montgomery Dr, Suite D, Santa Rosa, CA 95405-5207 | 2006-08-10 |
1396754511 | James W Harwood | Surgery | 1111 Sonoma Ave #320, Santa Rosa, CA 95405 | 2006-08-05 |
1629092309 | Elizabeth P Tito | Surgery | 121 Sotoyome St Ste 203, Santa Rosa, CA 95405-4822 | 2006-07-27 |
1215918784 | Elizabeth A Peralta | Surgery | 3883 Airway Drive, Suite 201, Santa Rosa, CA 95403-1671 | 2005-11-10 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95403 |
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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.