Organization Active NPI

David Allan MD & Marta Kazymyra MD Inc PS

Doing business as Bay Medical Clinic

  • Family Medicine Physician
  • Blaine, WA
National Provider Identifier
1033293675
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00018097 Issued in WA
Legal business name
DAVID ALLAN MD & MARTA KAZYMYRA MD INC PS
Doing business as
Bay Medical Clinic
Practice address
377 C St
Blaine, WA 98230-4209
Phone
(360) 332-6327
Fax
(360) 332-4515
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
David H Allan, M.D.
Title
Owner
Phone
(360) 332-6327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00018097 WA Primary

Addresses

Primary practice location

377 C St
Blaine, WA 98230-4209

Mailing address

377 C St
Blaine, WA 98230-4209
Phone (360) 332-6327

Other identifiers 2

IdentifierTypeStateIssuer
77000OtherWAL&I
7022080MedicaidWA

Other names 1

  • BAY MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

377 C St
Blaine, WA 98230
Phone (206) 332-6327

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1033293675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 C ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304209",
            "telephone_number": "360-332-6327",
            "fax_number": "360-332-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 C ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304209",
            "telephone_number": "360-332-6327",
            "fax_number": "360-332-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ALLAN MD & MARTA KAZYMYRA MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-332-6327",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00018097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "77000",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7022080",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blaine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.