Provider Demographics
NPI:1730735606
Name:BAILEY, MORGAN (MHS, PA-C)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MHS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SHIPPENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16254-8706
Mailing Address - Country:US
Mailing Address - Phone:814-227-9929
Mailing Address - Fax:
Practice Address - Street 1:3944 BRODHEAD RD STE 7B
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3029
Practice Address - Country:US
Practice Address - Phone:724-773-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA004948363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant