GEORGE C BAILEY (NPI# 1538422779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538422779 |
| Entity Type | Individual |
| Full Name | GEORGE C BAILEY |
| Credential | MD |
| Practice Address |
4312 Heritage Trace Pkwy Ste 700 Fort Worth TX 76244 |
| Mailing Address |
3600 Gaston Ave Ste 1205 Dallas TX 75246-1812 |
| Practice Telephone | 2149158506 |
| Practice Fax Number | 6822235006 |
| Mailing Telephone | 2146928262 |
| Mailing Fax Number | 2146964190 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | R3794 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 606598YNEC | 01 |
| TX | MEDICARE DALLAS | 606598YNED | 01 |
| TX | MEDICARE 99 | 606598YND4 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379393 | George Bailey | Contractor | 10 Glen View Ter, Bridgeton, NJ 08302-2913 | 2018-06-08 |
| 1285740407 | George M Bailey | Dentist | 3585 N University Ave Ste 200, 200, Provo, UT 84604-6631 | 2006-08-21 |
| 1245274034 | George W Bailey | Psychiatry & Neurology | 514 W Bankhead Hwy, Suite 400, Villa Rica, GA 30180-1736 | 2006-06-15 |
| 1245868397 | George Bailey | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-04-01 |
| 1013482942 | George Bailey | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2018-10-08 |
| 1275746133 | George Bailey | Dentist | 750 Morton Blvd, Hazard, KY 41701-9469 | 2007-05-08 |
| 1801974415 | George D. Bailey | Radiology | 2200 Ofarrell St, San Francisco, CA 94115-3357 | 2006-11-01 |
| 1447346457 | George W Bailey | Internal Medicine | 1698 E Mcandrews Rd, Suite 400, Medford, OR 97504-5589 | 2006-10-05 |
| 1619925096 | George M Bailey | Licensed Practical Nurse | 33501 1st Way S, Federal Way, WA 98003-6208 | 2006-05-05 |
| 1730151366 | George Marion Bailey | Obstetrics & Gynecology | 810 13th St, Hood River, OR 97031 | 2006-02-07 |
| Street Address |
4312 HERITAGE TRACE PKWY STE 700 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| 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 |
|---|---|---|---|---|
| 1023401510 | Robert A Bloom Md Pllc | Urology | 416 S. Henderson St., Fort Worth, TX 76104 | 2015-03-09 |
| 1093998429 | Dallas/fort Worth Urology Consultants | Urology | 4809 Brentwood Stair Road, Fort Worth, TX 76103 | 2007-12-07 |
| 1982749164 | John W Johnson IIi | Urology | 6100 Harris Pkwy Ste 225, Fort Worth, TX 76132-4126 | 2007-02-21 |
| 1033262605 | Rajendra Singh Chouhan | Urology | 1115 Pennsylvania Ave, Suite A, Fort Worth, TX 76104-2153 | 2007-01-18 |
| 1164506226 | Charles Bamberger | Urology | 416 South Henderson, Fort Worth, TX 76104-1017 | 2006-10-25 |
| 1114968625 | David Lawrence Gould | Urology | 900 Jerome St Ste 304, Fort Worth, TX 76104-3941 | 2006-06-08 |
| 1275596538 | Michael G Waters | Urology | 2900 Acme Brick Plz, Fort Worth, TX 76109-4123 | 2006-04-08 |
| 1801859376 | Robert George Stroud | Urology | 1101 University Dr, Fort Worth, TX 76107-3012 | 2006-04-07 |
| 1811950397 | David R Rittenhouse | Urology | 1001 12th Ave Ste 140, Fort Worth, TX 76104-3926 | 2006-04-07 |
| 1578531828 | Bradley P Kropp | Urology | 1129 6th Ave, Fort Worth, TX 76104-4306 | 2006-03-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on GEORGE C BAILEY.
| 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.