Provider Demographics
NPI:1154492767
Name:BAILEY, MORGAN CHRISTOPHER (CRNA)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:CHRISTOPHER
Last Name:BAILEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 SW YORKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2257
Mailing Address - Country:US
Mailing Address - Phone:785-228-1191
Mailing Address - Fax:
Practice Address - Street 1:215 SW YORKSHIRE RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2257
Practice Address - Country:US
Practice Address - Phone:785-228-1191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO087070367500000X
NY678430163W00000X
KS54172367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO914023601Medicaid
MO430161OtherHEALTHLINK
NC2619952Medicare PIN
MO832535236Medicare PIN
NDN715154Medicare PIN
MO430161OtherHEALTHLINK
MO832530635Medicare PIN