MITCHELL EDWARD BAILEY


Address: 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436
Phone: 7073289673

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery G25349 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD OF CALIFORNIA 00G253490 01
CA 00G253490 05
CA RAILROAD MEDICARE P00270015 01

Other Providers MITCHELL BAILEY

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

Office Location

Street Address 30 MARK WEST SPRINGS RD
City SANTA ROSA
State CA
Zip Code 95403-1436

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy 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; 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.

Providers in the same taxonomy and city

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

Competitor

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City SANTA ROSA
Zip Code 95403

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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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