Organization Active NPI

Bayhealth Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dover, DE
National Provider Identifier
1073012696
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BAYHEALTH EMERGENCY PHYSICIANS LLC
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(855) 691-9890
NPI assigned
Feb 9, 2018
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYHEALTH MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Michael J Tretina
Title
Senior VP/ Cfo
Phone
(302) 744-7162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7162

Other practice location 1

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 430-5720

Other practice location 2

401 N Carter Rd Ste 101
Smyrna, DE 19977-1213
Phone (855) 691-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180405000978 DE Part B Supplier - Clinic/Group Practice 7719240696 Receives reassigned benefits from 187 practitioners
Practice locations: Dover, DE; Milford, DE; Milton, DE; Smyrna, DE

National Provider Directory

National Provider Directory
Part of
Douglas B Allen Jr MD

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 189

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 189

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1073012696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "855-691-9890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199634364",
            "country_code": "US",
            "telephone_number": "302-430-5720",
            "fax_number": "302-430-5515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Carter Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "DE",
            "postal_code": "199771213",
            "country_code": "US",
            "telephone_number": "855-691-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYHEALTH EMERGENCY PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYHEALTH MEDICAL CENTER, INC.",
        "enumeration_date": "2018-02-09",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "TRETINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP/ CFO",
        "authorized_official_telephone_number": "302-744-7162"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.