JONATHAN S BAILEY (NPI# 1366476947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366476947 |
| Entity Type | Individual |
| Full Name | JONATHAN S BAILEY |
| Credential | DMD, MD |
| Practice Address |
611 W. Park St. Oral and Maxillofacial Surgery Urbana IL 61801-2500 |
| Mailing Address |
611 W. Park St. Urbana IL 61801-2500 |
| Practice Telephone | 2173833280 |
| Practice Fax Number | 2173837071 |
| Mailing Telephone | 2173836941 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 036104913 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428210 | Jonathan Bailey | Counselor | 30 Southwick St, Feeding Hills, MA 01030-2024 | 2018-12-06 |
| 1518445600 | Jonathan Adam Bailey | Counselor | 1304 L St, Bakersfield, CA 93301-4509 | 2018-08-01 |
| 1831522358 | Jonathan Shelley Bailey | Behavioral Analyst | 9550 W Sahara Ave, 1071, Las Vegas, NV 89117-5373 | 2013-08-20 |
| 1780986570 | Jonathan Daniel Bailey | Family Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2010-11-30 |
| 1487697504 | Jonathan Quin Bailey | Obstetrics & Gynecology | 2 Memorial Medical Dr, Greenville, SC 29605-4450 | 2006-06-14 |
| Street Address |
611 W. PARK ST. ORAL AND MAXILLOFACIAL SURGERY |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683391 | Marshall Blake Hay | Radiology | 611 W. Park St., Radiology, Urbana, IL 61801-2530 | 2005-07-15 |
| 1780204685 | Kaitlynn Geiger | Physical Therapist | 611 W. Park St., Fapc, Urbana, IL 61801 | 2020-04-21 |
| 1134758758 | Ellen R Leskovisek | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2020-04-06 |
| 1568006542 | Whitney R Streitmatter | Dietitian, Registered | 611 W. Park St., Fapc, Urbana, IL 61801 | 2019-11-01 |
| 1174165310 | Brett A Fulks | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2019-10-09 |
| 1932756194 | Carissa Cole | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2019-08-22 |
| 1316593221 | Xiaoyu Zhang | Speech-Language Pathologist | 611 W. Park St., Urbana, IL 61801 | 2019-08-15 |
| 1144789264 | Hannah Dignan | Nurse Practitioner | 611 W. Park St., Urbana, IL 61801 | 2019-03-18 |
| 1639644982 | Katrina Osana | Physical Therapist | 611 W. Park St., Urbana, IL 61801 | 2018-10-12 |
| 1033684170 | Kourtney L Steinkamp | Nurse Practitioner | 611 W. Park St., Hvi, Urbana, IL 61801 | 2018-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295046795 | Ashley E Manlove | Oral & Maxillofacial Surgery | 611 W Park St, Oral and Maxillofacial Surgery, Urbana, IL 61801-2500 | 2010-06-29 |
| 1104925908 | Stephen R Sabol | Oral & Maxillofacial Surgery | 611 W. Park St., Urbana, IL 61801-2500 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1821652736 | Oral and Maxilloficial Head and Neck Associates LLC | Oral & Maxillofacial Surgery | 811 West Wellington Avenue, Attention: Mohammed Qaisi, Md., Dmd., Chicago, IL 60657-5123 | 2019-04-25 |
| 1801000443 | Center for Oral and Maxillofacial Surgery, P.C. | Oral & Maxillofacial Surgery | 10200 W Main St, Signal Hill Medical Bldg, Belleville, IL 62223-1408 | 2007-05-10 |
| 1396899878 | Bradley W Roberts Dmd PC | Oral & Maxillofacial Surgery | 4 Professional Drive, Alton, IL 62002 | 2007-01-22 |
| 1922198118 | Glenn A Miller | Oral & Maxillofacial Surgery | 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 | 2006-10-16 |
| 1114025574 | Michael John Karakourtis | Oral & Maxillofacial Surgery | 720 S Brom Drive, Suite #103, Naperville, IL 60540-6595 | 2006-09-20 |
| 1356448344 | William Joseph Powell | Oral & Maxillofacial Surgery | 318 S Washington St, Hinsdale, IL 60521-4433 | 2006-09-20 |
| 1295840304 | Khaled Abughazaleh | Oral & Maxillofacial Surgery | 65 E Scott St Apt 9a, Chicago, IL 60610-5274 | 2006-08-20 |
| 1750360608 | Michael R Stohle | Oral & Maxillofacial Surgery | 500 Davis St, Ste 509, Evanston, IL 60201 | 2006-01-10 |
| 1124027990 | Gamal S Naguib | Oral & Maxillofacial Surgery | 302 E Saint Charles Rd, Villa Park, IL 60181-2420 | 2005-07-14 |
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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.