Organization Active NPI

Bay Dermatology and Cosmetic Surgery P a

  • Dermatology Physician
  • Port Richey, FL
National Provider Identifier
1437148996
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BAY DERMATOLOGY AND COSMETIC SURGERY P A
Practice address
8220 US Highway 19
Port Richey, FL 34668-6639
Phone
(727) 841-8505
Fax
(727) 846-0561
NPI assigned
Oct 18, 2005
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Richard A Miller, DONPI 1023007242
Title
Ceo
Phone
(727) 841-8505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

8220 US Highway 19
Port Richey, FL 34668-6639

Mailing address

8220 US Highway 19
Port Richey, FL 34668-6639
Phone (727) 841-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000454 FL Part B Supplier - Clinic/Group Practice 7517851215 Receives reassigned benefits from 39 practitioners
Practice locations: Palm Harbor, FL; St. Pete Beach, FL; St Petersburg, FL; Spring Hill, FL; Seminole, FL; Port Richey, FL; Lutz, FL; Largo, FL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0860461Bay Dermatology & Cosmetic Surgery PA8220 US Hwy 19 N, Port Richey, FL 34668ComplianceMar 18, 2027

National Provider Directory

National Provider Directory

Locations

115 Highland Ave N
Largo, FL 33770
Phone (727) 585-8591

1009 Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 264-5447

34941 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 585-8591

8220 US Highway 19
Port Richey, FL 34668
Phone (727) 585-8591

8229 US Hwy 19
Port Richey, FL 34668

13100 Park Blvd
Seminole, FL 33776
Phone (727) 585-8591

1130 Commercial Way
Spring Hill, FL 34606
Phone (352) 688-5544

7500 Gulf Blvd
Ste 8
St Pete Beach, FL 33706

125 4th Ave NE
St Petersburg, FL 33701
Phone (727) 585-8591

2653 Bruce B Downs Blvd
Ste 120A
Wesley Chapel, FL 33544
Phone (727) 841-8505

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1437148996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686639",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 US HIGHWAY 19",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686639",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY DERMATOLOGY AND COSMETIC SURGERY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-841-8505",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.