David Paul Bailey, PA
Individual provider Active NPI Physician Assistant · Springdale, AR
NPI 1124673439 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1124673439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2601 Gene George Blvd
Springdale, AR 72762-0845 - Phone
- (479) 334-3485
- Fax
- (479) 725-6582
- NPI assigned
- Aug 4, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230926001541 | AR | Practitioner - Physician Assistant | 9830524719 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| Arkansas Childrens Hospital | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| Arkansas Childrens Hospital | Past | Accepting new patients |
Locations
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2601 Gene George Blvd
Springdale, AR 72762-0845
Mailing address
PO Box 251418
Little Rock, AR 72225-1418
Phone (501) 364-1100
Other practice location 1
4704 Ambassador Caffery Pkwy
Lafayette, LA 70508-6908
Phone (337) 371-3102
Other practice location 2
36065 Santa Fe Ave
Fort Hood, TX 76544-5060
Phone (903) 746-0069
Other practice location 3
4704 Ambassador Caffery Pkwy Fl 1
Lafayette, LA 70508-6908
Phone (337) 470-5920
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2525247 | Medicaid | LA | |
| 321582 | Other | LA | STATE LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | david.p.bailey46.mil@mail.mil | Direct | |
| Direct Messaging Address | dbailey1004622@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Other providers in Springdale, AR
- Reagan G Baber
- Christopher Baehr
- Erin Baggett
- Regina D. Bagley
- Holli Beth Bagwell
- Donald Claude Bailey
- Meghan Grace Bailey
- Ryan Bailey
- Stephanie Gwen Bailey
- Alan P Baker
All providers in Springdale, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.