Organization Active NPI

Bayen Medical Associates, PA

  • Internal Medicine Physician
  • Gastonia, NC
National Provider Identifier
1073517652
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BAYEN MEDICAL ASSOCIATES, PA
Practice address
1343 E Garrison Blvd
Ste a
Gastonia, NC 28054-5137
Phone
(704) 861-9117
Fax
(704) 861-0142
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Edwin Sido
Title
Business Manager
Phone
(704) 861-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NC Primary

Addresses

Primary practice location

1343 E Garrison Blvd
Ste a
Gastonia, NC 28054-5137

Mailing address

1343 E Garrison Blvd
Ste a
Gastonia, NC 28054-5137
Phone (704) 861-9117

Other identifiers 1

IdentifierTypeStateIssuer
0291GOtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Cramerton Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

137 8th Ave
Cramerton, NC 28032
Phone (704) 824-1321

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2360/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073517652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 E GARRISON BLVD",
            "address_2": "STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545137",
            "telephone_number": "704-861-9117",
            "fax_number": "704-861-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 E GARRISON BLVD",
            "address_2": "STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545137",
            "telephone_number": "704-861-9117",
            "fax_number": "704-861-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYEN MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIDO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "704-861-9117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0291G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cramerton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.