GARY BAILEY (NPI# 1013028174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013028174 |
| Entity Type | Individual |
| Full Name | GARY BAILEY |
| Credential | MD |
| Practice Address |
9601 Townline Rd Minocqua WI 54548 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5777 |
| Practice Telephone | 7153581255 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 31704 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31652100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201490 | Gary W Bailey | Family Medicine | 2525 Burton St Se, Grand Rapids, MI 49546 | 2006-01-27 |
| 1598892788 | Gary Brandon Bailey Jr. | Pharmacist | 5711 Altama Ave, Suite J, Brunswick, GA 31525-2240 | 2007-02-27 |
| 1720031016 | Gary Bernard Bailey | Counselor | 291 N Graham Hopedale Rd, Burlington, NC 27217-2971 | 2006-05-18 |
| Street Address |
9601 TOWNLINE RD |
| City | MINOCQUA |
| State | WI |
| Zip Code | 54548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721041 | Deno N. Karegeannes | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2005-09-26 |
| 1750934493 | Mchs Hospitals, Inc. | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2019-07-22 |
| 1508351099 | Lauren Erica Treml | Optometrist | 9601 Townline Rd, Minocqua, WI 54548 | 2018-06-27 |
| 1003313230 | Colleen Ann Mueller | Nurse Practitioner | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2018-04-13 |
| 1205355351 | Sami Ahmed | Family Medicine | 9601 Townline Rd, Minocqua, WI 54548 | 2017-09-10 |
| 1699136085 | Peter Thomas Keenan | Clinical Neuropsychologist | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2016-03-11 |
| 1568820199 | Alexa Boersen | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2016-02-10 |
| 1881063329 | Marshfield Clinic Inc | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-09-15 |
| 1184009466 | Patti Ann Brown | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-07-28 |
| 1174916720 | David Fay Lee | Radiology | 9601 Townline Rd, Minocqua, WI 54548 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1922665637 | Ben Lonsdorf | Dentist | 9547 Lakeview Drive #200, Minocqua, WI 54548 | 2019-05-29 |
| 1396194460 | Samantha M Jeffery | Dentist | 5222 Us-51 N, Mercer, WI 54548 | 2016-06-08 |
| 1144608068 | Laura Gifford | Registered Nurse | 9845 Wintergreen Drive, Minocqua, WI 54548 | 2015-05-12 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1609136936 | Joseph M Pilarski | Chiropractor | 9792 Wi-70, Minocqua, WI 54548 | 2012-05-21 |
| 1225307242 | Minocqua Optical | Eyewear Supplier (Equipment, not the service) | 419 Chippewa St, Minocqua, WI 54548 | 2011-12-20 |
| 1073849840 | Frederick Alfred Melms Jr. | Family Medicine | 7380 Timber Lane, Minocqua, WI 54548 | 2009-10-28 |
| 1588820542 | Nicholas Bodmer | Radiology | 9576 Wi-70, Minocqua, WI 54548 | 2008-07-30 |
| 1063694545 | Gina M White | Counselor | 102 Front Street, Minocqua, WI 54548 | 2007-11-27 |
| Find all providers in zip 54548 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578674636 | Matthew A Thomas | Urology | 9601 Townline Rd, Minocqua, WI 54548 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
| 1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
| 1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
| 1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
| 1831486117 | Mary Hallman Leikness | Urology | 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 | 2011-07-07 |
| 1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
| 1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
| 1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
| 1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
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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.