JIMMIE DALE BAILEY II (NPI# 1235126582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235126582 |
| Entity Type | Individual |
| Full Name | JIMMIE DALE BAILEY II |
| Credential | MD |
| Practice Address |
3580 Airport Rd Crestview FL 32539-6185 |
| Mailing Address |
951 S Ferdon Blvd Crestview FL 32536-4507 |
| Practice Telephone | 5757918397 |
| Mailing Telephone | 8506342515 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2017-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD. 22758 | AL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ME 125949 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3580 AIRPORT RD |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539-6185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1568576098 | Okaloosa Youth Development Center | Substance Abuse Rehabilitation Facility | 4449 Straighline Road, Crestview, FL 32539 | 2006-08-19 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1902850258 | Panhandle Orthopaedics LLC | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2006-05-20 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| Find all providers in zip 32539 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144451550 | Andy Bruce Carter | Family Medicine | 613 Red Fern Rd, Crestview, FL 32536-5472 | 2009-08-03 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1801905039 | Marcene Faye Kreifels | Family Medicine | 1198 S Ferdon Blvd, Crestview, FL 32536-4512 | 2006-08-30 |
| 1518938653 | Kate R Lops | Family Medicine | 327 Medcrest Dr Unit A, Crestview, FL 32536 | 2006-01-27 |
| 1447244223 | Ann Kathryn Gwinnup | Family Medicine | 127 E Redstone Ave Ste C, Crestview, FL 32539-5356 | 2005-09-07 |
| 1689802993 | Kerrian A Hudson | Family Medicine | 550 W Redstone Ave, 200, Crestview, FL 32536-6429 | 2009-06-25 |
| 1942441795 | Kara O Brooks | Family Medicine | 550 Redstone Ave W, Suite 200, Crestview, FL 32536-6428 | 2009-03-07 |
| 1467609198 | Paul Nicholas Motta | Family Medicine | 127 E Redstone Ave, Suite C, Crestview, FL 32539-5358 | 2008-08-25 |
| 1477739829 | Michelle H Stevens Md Pa | Family Medicine | 4100 S Ferdon Blvd, Ste C5, Crestview, FL 32536-5252 | 2008-01-16 |
| 1710173638 | James L Willis Do Pa | Family Medicine | 524 W James Lee Blvd, Crestview, FL 32536-5129 | 2007-09-25 |
| Find all providers in CRESTVIEW | ||||
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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.