Bayshore Health and Wellness, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAYSHORE HEALTH AND WELLNESS, LLC

Practice address

2299 9TH Ave N Ste 1a
St Petersburg, FL 33713-6851

Phone

(813) 298-6545

NPI assigned

Apr 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Baker

Title

President

Phone

(813) 298-6545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1144783291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE N STE 1A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136851",
            "telephone_number": "813-298-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE N STE 1A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136851",
            "telephone_number": "813-298-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-298-6545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayhaven (Bayhaven Massage)
• Baylife Physical Therapy & Rehabilitation Inc
• Baylight Psychiatry, PLLC
• Jennifer Baylor, DC
• Bayou Shores SNF LLC (Rehabilitation Center of St Pete)
• Bayside Behavior Solutions
• Bayside Emergency Physicians PA
• Bayside Facility Inc (Bayside Care Center)
• Bayside Health and Wellness
• Bayside Nursing and Rehab LLC

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.