Mark H Bayliss (NPI# 1194822122, PAC ID# 1456453091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194822122 |
| PAC ID by PECOS | 1456453091 |
| Professional Enrollment ID | I20070228000113 |
| Full Name | Mark H Bayliss |
| Organization Legal Name | LA FAMILIA PRIMARY CARE PC |
| Address |
130 S 3rd St Raton NM 87740-3910 |
| Phone Number | 5754455563 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1980 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446352207 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 321307 | MINERS' COLFAX MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 S 3rd St, Raton, NM 87740-3910 | 5754455563 | LA FAMILIA PRIMARY CARE PC |
| 203 Hospital Dr, Raton, NM 87740-2012 | 5754453661 | MINERS' COLFAX MEDICAL CENTER |
| Organization Legal Name | LA FAMILIA PRIMARY CARE PC |
| Physicians | 1 |
| Street Address |
130 S 3RD ST |
| City | RATON |
| State | NM |
| Zip | 87740-3910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia Hefker | Nurse Practitioner | La Familia Primary Care P C | 130 S 3rd St, Raton, NM 87740-0668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal Dawn Washburn | Chiropractic | 230 Galisteo Ave, Raton, NM 87740-0909 | |
| Bruce W Washburn | Chiropractic | 230 Galisteo Ave, Raton, NM 87740-0909 | |
| Misbah D Zmily | Internal Medicine | 168 Hospital Dr, Raton, NM 87740-2002 | |
| Sigurd T Rutkis | Occupational Therapy | Rocky Mountain Physical Therapy Inc | 160 Hospital Dr, Raton, NM 87740-2002 |
| Kelley Marie Krengiel | Physical Therapy | Rocky Mountain Physical Therapy Inc | 160 Hospital Dr, Raton, NM 87740-2002 |
| Theodore Kamp | Physical Therapy | Rocky Mountain Physical Therapy Inc | 160 Hospital Dr, Raton, NM 87740-2002 |
| Traci Rae Kamp | Physical Therapy | Rocky Mountain Physical Therapy Inc | 160 Hospital Dr, Raton, NM 87740-2002 |
| Tanaye Carroll-maez | Physical Therapy | Rocky Mountain Physical Therapy Inc | 160 Hospital Dr, Raton, NM 87740-2002 |
| Tropha A Wright | General Surgery | Miners' Colfax Medical Center | 203 Hospital Dr, Raton, NM 87740-2012 |
| Ronald L Cochran | Certified Registered Nurse Anesthetist (crna) | Miners' Colfax Medical Center | 203 Hospital Dr, Raton, NM 87740-2012 |
| Find all physicians in zip 87740 | |||
| City | RATON |
| Zip Code | 87740 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RATON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mark H Bayliss.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.