Active NPI
Maria Minnaar Bailey, PA-C
- Physician Assistant
- Aurora, MO
National Provider Identifier
1003975293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2011024750
- Practice address
- 500 Porter Ave
Aurora, MO 65605-2365 - Phone
- (417) 678-7888
- Fax
- (407) 678-7840
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2011024750 | MO | Primary |
Addresses
Primary practice location
500 Porter Ave
Aurora, MO 65605-2365
Mailing address
PO Box 758
Neosho, MO 64850-0758
Phone (417) 451-9450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1003975293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648500758",
"telephone_number": "417-451-9450",
"fax_number": "417-451-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PORTER AVE",
"city": "AURORA",
"state": "MO",
"postal_code": "656052365",
"telephone_number": "417-678-7888",
"fax_number": "407-678-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "MARIA",
"middle_name": "MINNAAR",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2011024750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.