Healthcare Provider Details

I. General information

NPI: 1376699967
Provider Name (Legal Business Name): STEPHEN R. BAILEY, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 PENN AVE
WILKINSBURG PA
15221-2148
US

IV. Provider business mailing address

3611 MCCRADY RD
PITTSBURGH PA
15235-5227
US

V. Phone/Fax

Practice location:
  • Phone: 412-856-6220
  • Fax: 412-824-0620
Mailing address:
  • Phone: 412-856-6220
  • Fax: 412-824-0620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD018237E
License Number StatePA

VIII. Authorized Official

Name: DR. STEPHEN ROSS BAILEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 412-856-6220