Donovan Wilbur W. Bailey (NPI# 1790767481, PAC ID# 5294769915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790767481 |
| PAC ID by PECOS | 5294769915 |
| Professional Enrollment ID | I20060307000058 |
| Full Name | Donovan Wilbur W. Bailey |
| Organization Legal Name | EAST CARROLL PARISH HOSPITAL |
| Address |
336 N Hood St Lake Providence LA 71254-2140 |
| Phone Number | 3185594023 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153216619 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190208 | EAST CARROLL PARISH HOSPITAL |
| 190081 | WEST CARROLL MEMORIAL HOSPITAL |
| 191323 | RICHLAND PARISH HOSPITAL-DELHI |
| Address | Phone | Organization |
|---|---|---|
| 336 N Hood St, Lake Providence, LA 71254-2140 | 3185594023 | EAST CARROLL PARISH HOSPITAL |
| Organization Legal Name | EAST CARROLL PARISH HOSPITAL |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Llewellyn Logarta Simon | Internal Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| William G Hathaway Iii | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Mark A St Cyr | Internal Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Kay Kovac | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Menoni I Ize-iyamu | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Justin W. Seymour | General Practice | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Patrick C Grayson | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Robert W Calhoun | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Kasimu S Moody | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Street Address |
336 N HOOD ST |
| City | LAKE PROVIDENCE |
| State | LA |
| Zip | 71254-2140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Llewellyn Logarta Simon | Internal Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| William G Hathaway Iii | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Mark A St Cyr | Internal Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Kay Kovac | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Menoni I Ize-iyamu | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Justin W. Seymour | General Practice | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Patrick C Grayson | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Robert W Calhoun | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Kasimu S Moody | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Ro Risa Reina | Diagnostic Radiology | Brown-folse Radiology Group, LLC | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Find all physicians in the same address | |||
| City | LAKE PROVIDENCE |
| Zip Code | 71254 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE PROVIDENCE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Donovan Wilbur W. 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.