Christina Ann Bailey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA159999 Issued in OR

Practice address

5 Centerpointe Dr
Suite 600
Lake Oswego, OR 97035-8651

Phone

(503) 349-5135

Fax

(855) 878-2484

NPI assigned

Jan 14, 2011

Last updated

Dec 31, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christina Ann Mahoney Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David P Larson MD LLCGroup PAC ID 5092149260, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David P Larson MD LLC

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1497306468
  Medicare reassignment Care Compare group
• Orthopedic & Fracture Clinic PC

  • Orthopaedic Surgery Physician
  • Portland, OR
  • NPI 1871050153
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1518262013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR",
            "address_2": "SUITE 600",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358651",
            "telephone_number": "503-349-5135",
            "fax_number": "855-878-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR",
            "address_2": "SUITE 600",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358651",
            "telephone_number": "503-349-5135",
            "fax_number": "855-878-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA159999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500657872",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "MAHONEY",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tristan Avery
• Kathleen Joyce Ayres, LPC, NCC
• Ronda Lynn Babcock, RN
• Francis Bacik
• Adam Richard Bailey, PA-C
• William John Baily
• Jasroop Bains
• Alexis Baker, MT-BC
• Deborah Ann Baker, M.A.
• Kristen Jensine Baker

• Medical Physician Assistant in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.