Bayhealth Medical Center, Inc
Organization Active NPI Surgery Physician · Dover, DE
NPI 1407615388 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1407615388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- BAYHEALTH MEDICAL CENTER, INC
- Practice address
- 724 S New St
Dover, DE 19904-3540 - Phone
- (302) 674-4070
- NPI assigned
- Mar 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Michael Tretina
- Title
- Cfo
- Phone
- (302) 744-7162
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 26
Practitioners 25
-
Edward Lee Alexander III, M.D.
-
David J Cloney, M.D.
-
Sharmila S. Johnson, AGACNP-BC
-
Jessica Rae Lehman, PA-C
-
Megan Nicole Olekszyk, PA-C
-
Assar Ahmed Rather, M.D.
-
Ali Sheharyar, M.D
-
Irene Moridi, MD
-
Arun Pillai, M.D.
-
Carole Ann Dye, NP-C
-
Adrianne Fisher, FNP-BC
-
Theodoros Katsichtis, M.D
-
Barath Krishnan, MD
-
Amber Batool, DO
-
John E Mitchell, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081010000398 | DE | Part B Supplier - Hospital Department(S) | 1658364740 |
Receives reassigned benefits from 265 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Milford, DE; Milton, DE; Smyrna, DE; Dover, DE; Harrington, DE; Middletown, DE |
National Provider Directory
- Tax ID family
- Bayhealth KGH
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
724 S New St
Dover, DE 19904-3540
Mailing address
640 S State St
Dover, DE 19901-3530
Phone (302) 744-7113
Other names
- Bayhealth General Surgery, Dover
Other providers in Dover, DE
- Bayhealth Medical Center / Kent General Hospital
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
- Bayhealth Medical Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.