BAYSIDE FAMILY MEDICINE CHESTERFIELD PC (NPI# 1790018315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790018315 |
| Entity Type | Organization |
| Organization Name | BAYSIDE FAMILY MEDICINE CHESTERFIELD PC |
| Other Organization Name | BAYSIDE FAMILY MEDICINE |
| Practice Address |
31225 23 Mile Rd Chesterfield MI 48047-1848 |
| Practice Telephone | 5865982900 |
| Practice Fax Number | 5865982905 |
| Mailing Telephone | 5865982900 |
| Mailing Fax Number | 5865982905 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | DR. KATHLEEN ANN RHEAUME (PRESIDENT) |
| Authorized Official Telephone | 5865982900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301058573 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4619550 | 05 |
| Other Name | Type Code |
|---|---|
| Bayside Family Medicine | Former Legal Business Name - Organization |
| Street Address |
31225 23 MILE RD |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48047-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
| 1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
| 1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
| Find all providers in zip 48047 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134756802 | Jennifer Nicole Clarke | Family Medicine | 8719 Corcoran Pl, Chesterfield, VA 23832-7463 | 2020-03-24 |
| 1467002717 | E Carter Enterprises | Family Medicine | 13506 Blue Heron Cir, Chesterfield, VA 23838-3258 | 2019-09-18 |
| 1205337417 | Vitalcare Family LLC | Family Medicine | 7300 Ashlake Parkway, Chesterfield, VA 23832 | 2018-02-22 |
| 1013368455 | Meghan Henningsen | Family Medicine | 17417 Chesterfield Airport Rd, Chesterfield, MO 63005-1308 | 2016-06-27 |
| 1831543826 | Leslie Noel Chanasue | Family Medicine | 17701 Edison Ave Ste 101, Chesterfield, MO 63005 | 2016-04-16 |
| 1497138663 | Rachel Vanessa Sachs | Family Medicine | 121 Saint Lukes Center Dr Ste 302, Chesterfield, MO 63017-3519 | 2015-07-07 |
| 1013273960 | Katherine Mary Marston | Family Medicine | 32901 23 Mile Road Suite 100, Chesterfield, MI 48047-4032 | 2012-04-04 |
| 1316115603 | Jeffery Allen Stynowick | Family Medicine | 130 Chippenham Ln, Chesterfield, MO 63005-6817 | 2008-02-20 |
| 1952582348 | Tu-van Tran | Family Medicine | 8407 Pullman Ln, Chesterfield, VA 23832-2076 | 2007-11-14 |
| 1962606509 | Amar R. Shah | Family Medicine | 7300 Ashlake Pkwy Ste 100, Chesterfield, VA 23832-2827 | 2007-06-14 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 48047 |
Please comment or provide details below to improve the information on BAYSIDE FAMILY MEDICINE CHESTERFIELD PC.
| 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.