Organization Active NPI

David L. Terzigni, P.a.

Doing business as Bayside Family Medical Care

  • Family Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1164772687
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8106 Issued in FL
Legal business name
DAVID L. TERZIGNI, P.A.
Doing business as
Bayside Family Medical Care
Practice address
5355 Spring Hill Dr
Spring Hill, FL 34606-4540
Phone
(352) 688-5586
Fax
(352) 688-5535
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Dr. David Lowell Terzigni, D.ONPI 1568563419
Title
President
Phone
(352) 597-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8106 FL Primary

Addresses

Primary practice location

5355 Spring Hill Dr
Spring Hill, FL 34606-4540

Mailing address

5355 Spring Hill Dr
Spring Hill, FL 34606-4540
Phone (352) 688-5586

Other identifiers 1

IdentifierTypeStateIssuer
261770600MedicaidFL

Other names 1

  • Bayside Family Medical Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120925000732 FL Part B Supplier - Clinic/Group Practice 7810146446 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Hill, FL

National Provider Directory

National Provider Directory

Locations

11015 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 688-5586

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": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1164772687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064540",
            "telephone_number": "352-688-5586",
            "fax_number": "352-688-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064540",
            "telephone_number": "352-688-5586",
            "fax_number": "352-688-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. TERZIGNI, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "TERZIGNI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-597-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261770600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Family Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.