NPIMap

Organization Active NPI

Seaside Primary Care LLC

  • Family Medicine Physician
  • Lewes, DE
National Provider Identifier
1346987443
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SEASIDE PRIMARY CARE LLC
Practice address
750 Kings Hwy Ste 103
Lewes, DE 19958-1772
Phone
(302) 542-3171
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Gregory A Bahtiarian, DO
Title
Physician/Owner
Phone
(302) 542-3171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

750 Kings Hwy Ste 103
Lewes, DE 19958-1772

Mailing address

750 Kings Hwy Ste 103
Lewes, DE 19958-1772
Phone (302) 542-3171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1346987443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KINGS HWY STE 103",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581772",
            "telephone_number": "302-542-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KINGS HWY STE 103",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581772",
            "telephone_number": "302-542-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "BAHTIARIAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "302-542-3171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.