NPIMap

Organization Active NPI

Bay Area Medical Center, Inc

Doing business as Bay Area Urology Consultants

  • Urology Physician
  • Marinette, WI
National Provider Identifier
1396015194
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
155 Issued in WI
Legal business name
BAY AREA MEDICAL CENTER, INC
Doing business as
Bay Area Urology Consultants
Practice address
3130 Shore Dr
Suite 020
Marinette, WI 54143-4291
Phone
(715) 735-8064
Fax
(715) 735-8065
NPI assigned
Jan 10, 2012
Last updated
Jan 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Dawn M Laplant
Title
Clinic Business Services Manager
Phone
(715) 735-1722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 155 WI Primary

Addresses

Primary practice location

3130 Shore Dr
Suite 020
Marinette, WI 54143-4291

Mailing address

3100 Shore Dr
Marinette, WI 54143-4242
Phone (715) 735-1721

Other identifiers 1

IdentifierTypeStateIssuer
11001400MedicaidWI

Other names 1

  • Bay Area Urology Consultants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bay Area - Wausaukee13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1396015194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-1721",
            "fax_number": "715-735-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SHORE DR",
            "address_2": "SUITE 020",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434291",
            "telephone_number": "715-735-8064",
            "fax_number": "715-735-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "LAPLANT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC BUSINESS SERVICES MANAGER",
        "authorized_official_telephone_number": "715-735-1722"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11001400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Urology Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.