Donald Shane Bailey, LPN

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

048016 Issued in MO

Practice address

304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920

Phone

(573) 334-9933

Fax

(573) 334-9958

NPI assigned

Oct 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1871782649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-334-9933",
            "fax_number": "573-334-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-334-9933",
            "fax_number": "573-334-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DONALD",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "MO",
            "license": "048016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Ayers
• David Jeffery Babcock, D.O.
• Taylor Babich, FNP-C
• Betty Jennell Bach, C.R.N.A.
• Katlyn Elizabeth Bader, MSN, APRN, FNP-BC
• Alyssa Ruopp Baker, DMD
• Lisa M. Baker, FNP-C
• Mackenzie Baker
• Aaron Bales
• Ryan Jacob Bandermann, MPT

• Surgical Technologist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Surgical Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.