Active NPI
Donna Lynn Bailey, P.A.-C.
- Surgical Physician Assistant
- Richardson, TX
National Provider Identifier
1659464691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA03622
- Practice address
- 204 Bridge Canyon CT
Richardson, TX 75080-2600 - Phone
- (972) 783-0915
- Fax
- (972) 979-2226
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA03622 | TX | Primary |
Addresses
Primary practice location
204 Bridge Canyon CT
Richardson, TX 75080-2600
Mailing address
204 Bridge Canyon CT
Richardson, TX 75080-2600
Phone (972) 783-0915
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA03622 | Other | TX | TX MEDICAL BOARD LICENSE |
| 1012551 | Other | TX | NCCPA CERTIFICATE # |
| PA7010 | Other | TX | BCBS PROVIDER # |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Dallas Surgical Specialists, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Richardson, TX
- NPI 1912935560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659464691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 BRIDGE CANYON CT",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802600",
"telephone_number": "972-783-0915",
"fax_number": "972-979-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 BRIDGE CANYON CT",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802600",
"telephone_number": "972-783-0915",
"fax_number": "972-979-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "DONNA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "P.A.-C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA03622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICAL BOARD LICENSE",
"identifier": "PA03622",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA CERTIFICATE #",
"identifier": "1012551",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "PA7010",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.