BEAU RICHARD BAILER (NPI# 1306330519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306330519 |
| Entity Type | Individual |
| Full Name | BEAU RICHARD BAILER |
| Practice Address |
609 Quarter St Gladwin MI 48624-1941 |
| Practice Telephone | 9892466272 |
| Practice Fax Number | 9892469466 |
| Mailing Telephone | 9892466272 |
| Mailing Fax Number | 9892469466 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
550107695 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
609 QUARTER ST |
| City | GLADWIN |
| State | MI |
| Zip Code | 48624-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841215423 | Evangeline A Ancheta | Family Medicine | 609 Quarter St, Gladwin, MI 48624-1941 | 2006-07-13 |
| 1346848140 | Chelsea Hutchinson | Physical Therapist | 609 Quarter St, Gladwin, MI 48624-1941 | 2020-10-14 |
| 1750879839 | Julie L Schultz | Occupational Therapist | 609 Quarter St, Gladwin, MI 48624-1941 | 2018-04-25 |
| 1386068872 | Sara Sisco | Nurse Practitioner | 609 Quarter St, Gladwin, MI 48624-1941 | 2014-02-05 |
| 1538599733 | Eric Kreckman | Physician Assistant | 609 Quarter St, Gladwin, MI 48624-1941 | 2013-11-25 |
| 1619311891 | Midmichigan Medical Center Gladwin | Clinic/Center | 609 Quarter St, Gladwin, MI 48624-1941 | 2013-04-18 |
| 1093044067 | Midmichigan Medical Center Gladwin | Clinic/Center | 609 Quarter St, Gladwin, MI 48624-1941 | 2009-12-21 |
| 1972731370 | Renee Christine Fuller | Family Medicine | 609 Quarter St, Gladwin, MI 48624-1941 | 2009-06-24 |
| 1598954836 | Midmichigan Cardiology, PC | Specialist | 609 Quarter St, Gladwin, MI 48624-1941 | 2007-10-23 |
| 1124177977 | Jeffrey Carl Stone | Podiatrist | 609 Quarter St, Gladwin, MI 48624-1941 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558889162 | Jacob Cameron Shell | Specialist/Technologist | 4403 Betty Lee Blvd, Gladwin, MI 48624 | 2017-09-03 |
| 1750704268 | Monica Maebel Weaver | Licensed Practical Nurse | 1426 North St. Street, Affordable Nursing Inc, Gladwin, MI 48624 | 2014-02-04 |
| 1417397407 | Richard Allen White | Registered Nurse | 655 East Cedar Avenue, Gladwin, MI 48624 | 2013-07-05 |
| 1023453040 | Amy Rebecca Brockschmidt | Counselor | Ten16 Recovery Network, 1302 Chatterton St. 2, Gladwin, MI 48624 | 2013-05-03 |
| 1447558341 | Erika Dianis | Psychologist | 655 E. Cedar Ave., Gladwin, MI 48624 | 2011-03-02 |
| 1457519456 | Bont & Medical Products Inc | Durable Medical Equipment & Medical Supplies | 895 N M18 Suite 2, Gladwin, MI 48624 | 2008-05-27 |
| 1346424454 | Regional Dialysis Services Inc | Clinic/Center | 673 Quarter Street, Gladwin, MI 48624 | 2007-12-26 |
| 1548476070 | Sambamurti . Srinivasan | Family Medicine | 602 Riverview Ct, Gladwin, MI 48624 | 2007-05-14 |
| 1295957850 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 1234 W Cedar Ave, Gladwin, MI 48624 | 2007-05-03 |
| 1710063755 | Janet Flynn | Registered Nurse | 1207 N Spring St, Gladwin, MI 48624 | 2006-10-31 |
| Find all providers in zip 48624 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851514 | Rebecca Marie Beery | Physical Therapist | 9551 Saline Waterworks Rd, Manchester, MI 48158-9728 | 2020-11-05 |
| 1861037921 | Jackson Hanks II | Physical Therapist | 2901 Commerce Xing, Commerce Township, MI 48390-3084 | 2019-11-13 |
| 1366084030 | Shelby Gusfa | Physical Therapist | 36622 Five Mile Rd Ste 102, Livonia, MI 48154-1900 | 2019-10-14 |
| 1881168078 | Jessie Lynn Lewis | Physical Therapist | 3315 E Michigan Ave Ste 4, Lansing, MI 48912-4649 | 2019-01-22 |
| 1063980373 | Fuel Physical Therapy & Sports Performance, LLC | Physical Therapist | 1139 Houseman Ave Ne, Grand Rapids, MI 49503-1229 | 2018-11-05 |
| 1386111243 | Your Alternative Pt, LLC | Physical Therapist | 640 Romence Rd Ste 111, Portage, MI 49024-3400 | 2018-10-30 |
| 1811472319 | Rachel E Michalski | Physical Therapist | 12150 30 Mile Rd Ste 102, Washington Township, MI 48095-2035 | 2018-10-01 |
| 1265916852 | Kelly Gotberg | Physical Therapist | 854 Washington Ave Ste 200, Holland, MI 49423-7143 | 2018-09-19 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1790272078 | Susan G Gall | Physical Therapist | 67267 S Main St, Richmond, MI 48062-1919 | 2018-04-22 |
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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.