Organization Active NPI

Bay Imaging Corporation

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1407035645
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0037230 Issued in FL
Legal business name
BAY IMAGING CORPORATION
Practice address
627 Brightwaters Blvd NE
St Petersburg, FL 33704-3715
Phone
(352) 795-9729
Fax
(352) 795-9262
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Ms. Janet Horne
Title
Billing Manager
Phone
(352) 795-9729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X ME0037230 FL Primary

Addresses

Primary practice location

627 Brightwaters Blvd NE
St Petersburg, FL 33704-3715

Mailing address

627 Brightwaters Blvd NE
St Petersburg, FL 33704-3715
Phone (352) 795-9729

Other identifiers 1

IdentifierTypeStateIssuer
04548OtherFLBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1407035645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BRIGHTWATERS BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043715",
            "telephone_number": "352-795-9729",
            "fax_number": "352-795-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 BRIGHTWATERS BLVD NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043715",
            "telephone_number": "352-795-9729",
            "fax_number": "352-795-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY IMAGING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "352-795-9729",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0037230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.