Stanton A Bailey (NPI# 1407873011, PAC ID# 3779575246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1407873011 |
| PAC ID by PECOS | 3779575246 |
| Professional Enrollment ID | I20040402000518 |
| Full Name | Stanton A Bailey |
| Organization Legal Name | MOUNTAINSTAR BRIGHAM OBGYN, LLC |
| Address |
950 Medical Dr Brigham City UT 84302-4724 |
| Phone Number | 4357349471 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3678634599 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460017 | BRIGHAM CITY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Medical Dr, Brigham City, UT 84302-4724 | 4357349471 | MOUNTAINSTAR BRIGHAM OBGYN, LLC |
| Organization Legal Name | MOUNTAINSTAR BRIGHAM OBGYN, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy A Overson | Certified Nurse Midwife (cnm) | Mountainstar Brigham Obgyn, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Derrick Walker | General Surgery | Mountainstar Brigham Obgyn, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Lance R Bryce | General Surgery | Mountainstar Brigham Obgyn, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Jeffery Brent Daniels Brown | Obstetrics/gynecology | Mountainstar Brigham Obgyn, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Street Address |
950 MEDICAL DR |
| City | BRIGHAM CITY |
| State | UT |
| Zip | 84302-4724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy A Overson | Certified Nurse Midwife (cnm) | Mountainstar Brigham Obgyn, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Derrick Walker | General Surgery | Mountainstar Brigham Obgyn, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Laura Ann Farley | Certified Registered Nurse Anesthetist (crna) | Brigham Anesthesia, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Kent G Johnson | Anesthesiology | Brigham Anesthesia, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Lance R Bryce | General Surgery | Mountainstar Brigham Obgyn, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Jeffery Brent Daniels Brown | Obstetrics/gynecology | Mountainstar Brigham Obgyn, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Derek C Lish | Certified Registered Nurse Anesthetist (crna) | Brigham Anesthesia, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Amy B Greenwood | Certified Registered Nurse Anesthetist (crna) | Brigham Anesthesia, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| John R Markeson | Internal Medicine | Brigham Internal Medicine | 950 Medical Dr, Suite 106, Brigham City, UT 84302-4719 |
| Joel D Gardner | Anesthesiology | Brigham Anesthesia, LLC | 950 Medical Dr, Brigham City, UT 84302-4724 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deserae J Goble | Family Medicine | 1950 S Hyway, Suite 89, Perry, UT 84302 | |
| Luellen C Brown | Clinical Social Worker | Bear River Mental Health Services Inc | 950 S 663, Brigham City, UT 84302 |
| Chantel B Murrah | Podiatry | 775 N 200, Willow Glen Health and Rehabilitation, Brigham City, UT 84302-1303 | |
| Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
| Tara Lee Dalton | Physician Assistant | Access Healthcare LLC | 5 W 200, Brigham City, UT 84302-2109 |
| Christie Lynn Powell | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Cyndi Susan Tangren | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Suzanne E Lee | Family Medicine | Community Health Centers Inc. | 14 N 100 E, 2 Clinica De Buena Salud, Brigham City, UT 84302-2170 |
| Larry D Terry | Optometry | 34 S Main St, Brigham City, UT 84302-2527 | |
| Stephan Michael Moss | Nurse Practitioner | Brigham Medical Clinic, Inc. | 600 W Hospital Rd, Brigham City, UT 84302-3006 |
| Find all physicians in zip 84302 | |||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BRIGHAM CITY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Stanton A Bailey.
| 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.