JACOB DOUGLAS BAILEY (NPI# 1962967281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962967281 |
| Entity Type | Individual |
| Full Name | JACOB DOUGLAS BAILEY |
| Practice Address |
32142 Cherry Hill Rd Garden City MI 48135-3201 |
| Practice Telephone | 7345029162 |
| Mailing Telephone | 7345029162 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695301 | Jacob Bailey | Driver | 424 Plymouth Ave, Charlotte, NC 28206-3139 | 2020-03-24 |
| 1396275434 | Jacob Donald Bailey | Family Medicine | 820 E 17th St, Cheyenne, WY 82001 | 2017-06-12 |
| 1598150039 | Jacob Bailey | Internal Medicine | 9300 Campus Point Dr, La Jolla, CA 92037 | 2015-04-01 |
| 1497095244 | Jacob Shumway Bailey | Optometrist | 1124 10th St, Alamogordo, NM 88310-6414 | 2013-02-14 |
| Street Address |
32142 CHERRY HILL RD |
| City | GARDEN CITY |
| State | MI |
| Zip Code | 48135-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440439 | Nephrocare Dialysis, LLC | Internal Medicine | Garden City Hosptial, 6245 Inkster Road, Garden City, MI 48135 | 2020-02-25 |
| 1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
| 1285125021 | Guardian Pharmacy LLC | Pharmacy | 29866 Ford Rd., Garden City, MI 48135 | 2018-05-29 |
| 1023538337 | Nishedh Nayan Dave | Internal Medicine | 6245 Inkster Rd., Garden City, MI 48135 | 2017-06-27 |
| 1033655196 | Smile Dental Pllc | Dentist | 28050 Ford Rd Suite D, Garden City, MI 48135 | 2017-01-13 |
| 1043667876 | Danielle M Spellman | Technician, Other | 832 Henry Ruff, Garden City, MI 48135 | 2016-05-23 |
| 1306202999 | Melissa Voydanoff | Technician, Other | 33412 Florence St., Garden City, MI 48135 | 2016-01-12 |
| 1679975098 | Kellee Renee Rutkowski | Technician, Other | 348 Radcliff, Novi, MI 48135 | 2014-09-17 |
| 1013357102 | Tim Kuo | Emergency Medicine | 6545 Inkster Road, Garden City, MI 48135 | 2013-07-03 |
| 1073837894 | Elite Transport, Inc | Non-emergency Medical Transport (VAN) | 27614 Ford Rd., Garden City, MI 48135 | 2010-03-23 |
| Find all providers in zip 48135 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396376661 | Chandra Martin | Student in an Organized Health Care Education/Training Program | 5935 Dolittle Dr, Garden City, KS 67846-8110 | 2020-01-27 |
| 1588129134 | Krista Nicole Johnson | Student in an Organized Health Care Education/Training Program | 32701 E 283rd St, Garden City, MO 64747-8346 | 2019-02-07 |
| 1376077420 | Zerwa Farooq | Student in an Organized Health Care Education/Training Program | 126 Meadow St, Garden City, NY 11530-6600 | 2017-04-16 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1811525629 | Christopher David Liao | Student in an Organized Health Care Education/Training Program | 999 Franklin Ave, Garden City, NY 11530-2913 | 2020-03-28 |
| 1316502651 | Olukunle Oreyemi-rire Olumuyiwa | Student in an Organized Health Care Education/Training Program | 401 E Spruce St, Garden City, KS 67846-5679 | 2019-05-02 |
| 1013571470 | Ankur Singal | Student in an Organized Health Care Education/Training Program | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2019-04-30 |
| 1245627280 | Navya Chundu | Student in an Organized Health Care Education/Training Program | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2015-04-16 |
| 1306006176 | Gaetano Pannella | Student in an Organized Health Care Education/Training Program | 1001 Franklin Ave, Suite 106, Garden City, NY 11530-2925 | 2008-06-14 |
| 1912186875 | Meredith Anne Lazar-antman | Student in an Organized Health Care Education/Training Program | 1300 Franklin Ave, Suite Ul 3a and B, Garden City, NY 11530-1886 | 2007-10-29 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 48135 |
Please comment or provide details below to improve the information on JACOB DOUGLAS BAILEY.
| 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.