Bay Pines VA Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BAY PINES VA MEDICAL CENTER

Practice address

1920 Mason Ave
Daytona Beach, FL 32117-5103

Phone

(386) 274-3460

Fax

(386) 274-3487

NPI assigned

Jul 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul V Larcka

Title

Acting Chief Pharmacist

Phone

(727) 398-6661

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215820800000",
    "number": "1003070608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 DERBYSHIRE RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141606",
            "telephone_number": "386-274-3460",
            "fax_number": "386-274-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175103",
            "telephone_number": "386-274-3460",
            "fax_number": "386-274-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PINES VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-12",
        "last_updated": "2008-07-12",
        "status": "A",
        "authorized_official_last_name": "LARCKA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ACTING CHIEF PHARMACIST",
        "authorized_official_telephone_number": "727-398-6661",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa E. Baumann, M.S.,R.D.,CDE,LD/N
• Jill Marie Baxter, PTA
• Matthew Baxter, PA
• Matthew Robert Baxter, PMHNP-C
• Nicholas Marquis Baxter
• Marcia J Bayer, ARNP
• Baywood Meadows Assisted Living
• Be Kind to Mind Counseling
• Be Safe Be Well, Inc.
• Beach Eye Care Inc

• Skilled Nursing Facility in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.