Baymeadows Primary Care, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME71382 Issued in FL

Legal business name

BAYMEADOWS PRIMARY CARE, INC.

Practice address

10058 Baymeadows Rd
Jacksonville, FL 32256-7177

Phone

(904) 636-5400

Fax

(904) 928-0654

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. S. Awais Imam

Title

Practice Administrator/ Cfo

Phone

(904) 636-5400

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Baymeadows Healthcare Doing business as

Locations

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1174512701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10058 BAYMEADOWS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567177",
            "telephone_number": "904-636-5400",
            "fax_number": "904-928-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10058 BAYMEADOWS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567177",
            "telephone_number": "904-636-5400",
            "fax_number": "904-928-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYMEADOWS PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "IMAM",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "AWAIS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/ CFO",
        "authorized_official_telephone_number": "904-636-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME71382",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273849000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baymeadows Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeneen Hill Bayley, LCSW
• Saundra V Baylor, PHD, DMIN
• Baymeadows Chiropractic and Physical Therapy LLC
• Baymeadows Injury & Wellness LLC
• Baymeadows Pediatric Care Inc
• Maher A Baz, MD
• Mary Margaret Bazaldua, ARNP
• Claudine Bazelais, SLP
• Frandia Bazelais, SLP
• Kacey Bazler

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, 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 Mar 14, 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.