NPIMap

Organization Active NPI

Bay Area Medical Center, Inc

Doing business as Bay Area Neurology Consultants

  • Neurology Physician
  • Marinette, WI
National Provider Identifier
1073884839
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
155 Issued in WI
Legal business name
BAY AREA MEDICAL CENTER, INC
Doing business as
Bay Area Neurology Consultants
Practice address
3130 Shore Dr
Suite 111
Marinette, WI 54143-4291
Phone
(715) 732-8212
Fax
(715) 732-8213
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dawn M Laplant
Title
Clinic Business Services Manager
Phone
(715) 735-1722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 155 WI Primary

Addresses

Primary practice location

3130 Shore Dr
Suite 111
Marinette, WI 54143-4291

Mailing address

3100 Shore Dr
Marinette, WI 54143-4242
Phone (715) 735-1721

Other identifiers 1

IdentifierTypeStateIssuer
11001400MedicaidWI

Other names 1

  • Bay Area Neurology Consultants Doing business as

National Provider Directory

National Provider Directory

Locations

3130 Shore Dr
Ste 111
Marinette, WI 54143
Phone (715) 732-8212

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1073884839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-1721",
            "fax_number": "715-735-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SHORE DR",
            "address_2": "SUITE 111",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434291",
            "telephone_number": "715-732-8212",
            "fax_number": "715-732-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "LAPLANT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC BUSINESS SERVICES MANAGER",
        "authorized_official_telephone_number": "715-735-1722"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11001400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Neurology Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.