BAYSIDE MEDICAL LLC (NPI# 1730792565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730792565 |
| Entity Type | Organization |
| Organization Name | BAYSIDE MEDICAL LLC |
| Practice Address |
643 W Birdie Ln Magnolia DE 19962-3115 |
| Practice Telephone | 3022336698 |
| Mailing Telephone | 3022336698 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | EMILY HEISHMAN (OWNER) |
| Authorized Official Telephone | 3022336698 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
643 W BIRDIE LN |
| City | MAGNOLIA |
| State | DE |
| Zip Code | 19962-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750401543 | Jessica Lucille Weaver | Dentist | 436 Mdg, 300 Tuskegee Blvd, Dover Afb, DE 19962 | 2007-03-29 |
| 1588936355 | Guillermo J Rosa | Pharmacist | 754 Ponderosa Dr, Magnolia, DE 19962-1140 | 2012-02-08 |
| 1316496318 | Scott M Butler | Nurse Practitioner | 431 Fieldbrook Dr, Magnolia, DE 19962-1481 | 2016-10-02 |
| 1801248166 | Emily White | Social Worker | 154 Fieldbrook Ln, Magnolia, DE 19962-1487 | 2016-07-11 |
| 1063019784 | Charlene Phillips | Psychologist | 702 Woodlytown Rd, Magnolia, DE 19962-1622 | 2020-10-06 |
| 1720481948 | Ivan Luke West Sr. | Physical Therapy Assistant | 175 Cider Run, Magnolia, DE 19962-1667 | 2014-10-01 |
| 1740897073 | Darlene Cunningham | Psychologist | 128 Glenn Forest Rd, Magnolia, DE 19962-1702 | 2020-09-30 |
| 1477764645 | Michelle Lynn Hardy | Registered Nurse | 1311 Millchop Ln, Magnolia, DE 19962-1750 | 2007-05-26 |
| 1942670112 | Justina Williams | Registered Nurse | 662 Quaker Hill Rd, Magnolia, DE 19962-2209 | 2015-10-01 |
| 1700437746 | Dorothy Nkongho Eyong | Nurse Practitioner | 775 Tullamore Ct, Magnolia, DE 19962-2621 | 2019-09-20 |
| Find all providers in zip 19962 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497376321 | Magnolia Regional Health System Inc | Clinic/Center | 1010 N Dudney Rd Ste C, Magnolia, AR 71753-2651 | 2020-05-01 |
| 1417125162 | Ivy V Mcgee | Clinic/Center | 300 S Pine, Magnolia, AR 71753-3644 | 2008-02-15 |
| 1952872541 | Woodlands Family Vision, Pllc | Clinic/Center | 32858 Fm 2978 Rd, Magnolia, TX 77354-6073 | 2018-12-08 |
| 1851549851 | Westwood Primary Care, Pllc | Clinic/Center | 6912 Fm 1488 Rd Ste A, Magnolia, TX 77354-1527 | 2008-09-03 |
| 1114181922 | James Chambliss, Md, Pllc, Pa | Clinic/Center | 1327 N Washington, Magnolia, AR 71753-2067 | 2008-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776784 | Lower Shore Primary Care and Wellness, LLC. | Clinic/Center | 4186 Stein Hwy, Seaford, DE 19973-6750 | 2020-10-01 |
| 1912454976 | Joy Magee Nurse Practitioner LLC | Clinic/Center | 237 Olivine Cir, Townsend, DE 19734-2011 | 2016-09-07 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1083078612 | Affinity Wellness & Consultants | Clinic/Center | 5350 Summit Bridge Rd Ste 107, Middletown, DE 19709-4802 | 2016-04-10 |
| 1740653922 | La Red Health Center, Inc. | Clinic/Center | 105 N Front St Ste B, Seaford, DE 19973-2707 | 2015-11-10 |
| 1780080770 | Governors Family Practice P.a | Clinic/Center | 1177a S Governors Ave, Dover, DE 19904-6903 | 2014-11-18 |
| 1366852519 | Bw Family Medical Center | Clinic/Center | 404 Clayton Ave, Wilmington, DE 19809-1413 | 2014-04-28 |
| 1568808376 | Healthworks Med Group of Delaware P A | Clinic/Center | 802 Delaware Ave, Wilmington, DE 19801-1377 | 2013-05-20 |
| 1154765881 | Tolulope M Olasunkanmi Md Inc | Clinic/Center | 302 Lynn Dr, Hockessin, DE 19707-9777 | 2013-04-24 |
| 1992096978 | Healthworks Med Group of Delaware P A | Clinic/Center | 587 Old Baltimore Pike, Newark, DE 19702-1307 | 2011-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.