TIMOTHY S BAILEY (NPI# 1053378976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053378976 |
| Entity Type | Individual |
| Full Name | TIMOTHY S BAILEY |
| Credential | M.D. |
| Practice Address |
302 W Hay St Ste. 140 Decatur IL 62526-4167 |
| Mailing Address |
2300 N Edward St Gsbll Decatur IL 62526-4163 |
| Practice Telephone | 2178775421 |
| Practice Fax Number | 2178770234 |
| Mailing Telephone | 2178775421 |
| Mailing Fax Number | 2178770234 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036081501 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036081501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558745752 | Timothy Park Bailey | Specialist/Technologist | 316 Abbey Gardens Ln, Simpsonville, SC 29681-6816 | 2015-07-17 |
| 1891063731 | Timothy Bailey | Chiropractor | 1260 N 200 E Ste 16, Logan, UT 84341-2382 | 2011-12-07 |
| 1770880221 | Timothy Bailey | Occupational Therapist | 17263 Highway 72, Rogersville, AL 35652-8108 | 2011-02-18 |
| 1225331945 | Timothy S Bailey | Family Medicine | 1815 Health Care Dr Ste B, Trinity, FL 34655-5363 | 2010-12-20 |
| 1194800052 | Timothy Silleck Bailey | Specialist | 625 Citracado Pkwy Ste 108, Escondido, CA 92025-6428 | 2006-10-26 |
| 1063013423 | Timothy Bailey | Nurse Practitioner | 36 Clinton St, Concord, NH 03301-2359 | 2020-11-03 |
| 1184222184 | Timothy Bailey | Pharmacist | 551 Main St N, Mc Kee, KY 40447-9082 | 2020-10-12 |
| 1386130458 | Timothy Bailey | Physical Therapy Assistant | 130 North St, Hyannis, MA 02601-3825 | 2018-07-02 |
| Street Address |
302 W HAY ST STE. 140 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411304 | Lee G Endsley | Urology | 302 W Hay St, Ste 200, Decatur, IL 62526-4167 | 2005-07-19 |
| 1073969044 | Nicole Suzette Soper | Registered Nurse | 302 W Hay St, Decatur, IL 62526-4167 | 2016-05-10 |
| 1629490628 | John W. Newlin, M.d., LLC | Internal Medicine | 302 W Hay St, Suite 130, Decatur, IL 62526-4167 | 2014-01-09 |
| 1811322001 | Sneha Kumar | Family Medicine | 302 W Hay St, Suite 110, Decatur, IL 62526-4167 | 2013-09-06 |
| 1104196294 | Jeremy Good | Physician Assistant | 302 W Hay St, Suite 200, Decatur, IL 62526-4167 | 2012-01-05 |
| 1255587176 | Midwest Neurology Associates, S.c. | Specialist | 302 W Hay St, Suite Ll110, Decatur, IL 62526-4167 | 2008-08-12 |
| 1699962209 | Steven E Weber, Md, Ltd | Surgery | 302 W Hay St, Suite 205, Decatur, IL 62526-4167 | 2007-09-27 |
| 1376737346 | Sudhakar Konda | Family Medicine | 302 W Hay St, Lower Level Suite 110, Decatur, IL 62526-6304 | 2007-08-31 |
| 1942333067 | Midwest Neurology Associates, S.c. | Specialist | 302 W Hay St, Suite Ll110, Decatur, IL 62526-4167 | 2007-03-14 |
| 1326191503 | Allen Bernard Devleschoward Jr. | Specialist | 302 W Hay St, Ste 210, Decatur, IL 62526-4167 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| 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 |
|---|---|---|---|---|
| 1083087340 | Alabama Bariatrics and Minimally Invasive Surgery, PC | Surgery | 705 Bank St Ne, Decatur, AL 35601-1609 | 2015-11-09 |
| 1639515778 | Sean P Mcgrath | Surgery | 2675 N Decatur Rd Ste 609, Decatur, GA 30033-6137 | 2013-05-16 |
| 1558505511 | Heath Colin Smith | Surgery | 2014 Ben Merritt Dr Ste A, Decatur, TX 76234-3851 | 2009-04-21 |
| 1235323551 | William R Hardcastle Md PC | Surgery | 487 Winn Way Ste 103, Decatur, GA 30030-1700 | 2007-08-29 |
| 1699834184 | Hugh Comer Nabers Jr. | Surgery | 1215 7th St Se Ste 190, Decatur, AL 35601-3393 | 2006-12-08 |
| 1396772851 | Alexandra Lara Barr Webb | Surgery | Va Medical Center Atlanta, 1670 Clairemont Road (112), Decatur, GA 30033 | 2006-06-28 |
| 1851342638 | Mark G Goss | Surgery | 2301 S Fm 51, Suite 500, Decatur, TX 76234-3865 | 2006-05-15 |
| 1073562583 | Daniel K Morris | Surgery | 2250 S Fm 51, Suite #900, Decatur, TX 76234-3766 | 2006-05-10 |
| 1225087562 | William E Wallace | Surgery | 2000 Ben Merritt Dr, Suite B, Decatur, TX 76234-3848 | 2006-05-06 |
| 1457318016 | Robert Charles Walker | Surgery | 1405 7th St Se, Decatur, AL 35601 | 2006-04-27 |
| Find all providers in DECATUR | ||||
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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.