Gretchen Bailey-Cahana, PA-C
Individual provider Active NPI Physician Assistant · Albuquerque, NM
NPI 1629348115 · NPPES record last updated Jan 6, 2017
Key facts
- NPI
- 1629348115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2011-0061 (NM)
- Practice address
- 502 Elm St NE
Albuquerque, NM 87102-2512 - Phone
- (505) 841-1000
- Fax
- (505) 843-2592
- NPI assigned
- Dec 30, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2011-0061 | NM | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2011-0061 | NM | Yes |
Addresses
Primary practice location
502 Elm St NE
Albuquerque, NM 87102-2512
Mailing address
89 Hookele St
Ste 103
Kahului, HI 96732-3532
Phone (505) 841-1000
Other providers in Albuquerque, NM
- Thomas D Baiamonte
- Maura T Baiardo
- Dalila Baied
- Lauren Nicole Baier
- Lauren R. Baier
- Alandrah Nichole Bailey
- Janice Faye Bailey
- Jon Bailey
- Jon Mark Bailey
- Kevin Bailey
All providers in Albuquerque, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2017. 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.