Bay Area Dermatology

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301039948 Issued in MI

Legal business name

BAY AREA DERMATOLOGY

Practice address

999 Sixth St
Traverse City, MI 49684-2301

Phone

(231) 941-4114

Fax

(231) 941-0878

NPI assigned

Jan 6, 2009

Last updated

Jan 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James J SimonsNPI 1982766465

Title

Sole Owner

Phone

(231) 941-4114

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• James Joseph Simons, MD

  • Procedural Dermatology Physician
  • Traverse City, MI
  • NPI 1982766465
  Authorized official Same address or phone
• Trevor K O'Brien, M.D.,

  • Plastic and Reconstructive Surgery Physician
  • Petoskey, MI
  • NPI 1487091989
  NPD (past)
• Justin G. Adrien, PA-C

  • Physician Assistant
  • Glen Burnie, MD
  • NPI 1770896532
  NPD (past)

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1306082755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842301",
            "telephone_number": "231-941-4114",
            "fax_number": "231-941-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842301",
            "telephone_number": "231-941-4114",
            "fax_number": "231-941-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "231-941-4114",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301039948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114154",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Keith Baumann, PHARM.D.
• Terry J. Baumann, PHARM.D., BCPS
• Neil Ray Bavikatty, MD
• Ashley Lynn Baxter, WELLNESS COACH
• Bay Area Counseling, LLC
• Bay Area Family Care of Traverse City PLC
• Bay Area Oral & Maxillofacial Surgery, P.C.
• Bay Area Urology Associates, PC
• Bay Chiropractic and Massage
• Bay Home Health Care, LLC

• Specialist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.