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BAYSIDE HEALTH ASSOCIATION NPI 1538164918


NPI Information

NPI: 1538164918
Provider Name: BAYSIDE HEALTH ASSOCIATION
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1535 SAVANNAH RD
LEWES, DE
ZIP 19958
Phone: (302) 645-4700
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BAYSIDE HEALTH ASSOCIATION is an obstetrics gynecology in Lewes, DE. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BAYSIDE HEALTH ASSOCIATION NPI is 1538164918. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1535 SAVANNAH RD
LEWES, DE
ZIP 19958-611
Phone: (302) 645-4700
Fax: (302) 645-1038

The provider's authorized official is Vincent B. Killeen .
The authorized official title is President And Ceo and has the following contact phone number (302) 645-4700.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 9/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1237600000XAudiologist-Hearing Aid FitterNo
2367A00000XAdvanced Practice MidwifeNo
3208D00000XGeneral PracticeNo
4207V00000XObstetrics & Gynecology1989030027DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000152902MEDICAIDDELAWARE
2090715MEDICARE ID-TYPE UNSPECIFIEDDELAWAREGROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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