Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel A Bailey, PA

Individual provider Physician Assistant · NPI 1891778254

Samuel A Bailey, PA is a Physician Assistant in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6800 State Route 162
Maryville, IL 62062-8500
Phone: (800) 968-6866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 85001646 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 085-001646 (IL)

Record details

NPI number1891778254
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESApril 24, 2008
Mailing addressPo Box 66971, Saint Louis, MO 63166-6971

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