Bayside Docs Urgent Care PLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

4301056827 Issued in MI

Legal business name

BAYSIDE DOCS URGENT CARE PLC

Practice address

401 Munson Ave
Traverse City, MI 49686-3041

Phone

(231) 933-9150

Fax

(231) 933-1553

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Brooke Jamrog

Title

Medical Biller

Phone

(231) 933-3283

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1316092943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MUNSON AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863041",
            "telephone_number": "231-933-9150",
            "fax_number": "231-933-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MUNSON AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863041",
            "telephone_number": "231-933-9150",
            "fax_number": "231-933-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE DOCS URGENT CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "JAMROG",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "231-933-3283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301056827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P1143353",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "364465889",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "102803802",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4415649 TYPE 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Psychological Services
• Bay Ridge Assisted Living Center
• Bayshore Hand Rehabilitation
• Bayside Allergy, P.C.
• Bayside Doc'S Urgent Care Office
• Bayside Wellness, LLC
• Bayside Wellness, LLC
• Kathryn M Bazzett, AU.D.
• BDD of Michigan P.C.
• Kerie Marcella Beadleston

• Urgent Care Clinic/Center in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.