NPIMap

Organization Active NPI

Bayview Family Clinic LTD

  • Point of Service
  • Danville, IL
National Provider Identifier
1437697307
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
209015479 Issued in IL
Legal business name
BAYVIEW FAMILY CLINIC LTD
Practice address
405 Sheridan St
Danville, IL 61832-4451
Phone
(217) 446-3259
Fax
(217) 446-4132
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Linus Uchechukwu Anukwu, MDNPI 1144242090
Title
Ceo
Phone
(217) 530-2106

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
Point of Service 305S00000X 209015479 IL Primary

Addresses

Primary practice location

405 Sheridan St
Danville, IL 61832-4451

Mailing address

405 Sheridan St
Danville, IL 61832-4451

Other names 1

  • DANVILLE PEDITRICS AND FAMILY CENTRE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bayview Wellness Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1437697307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SHERIDAN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SHERIDAN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324451",
            "telephone_number": "217-446-3259",
            "fax_number": "217-446-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW FAMILY CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "ANUKWU",
        "authorized_official_first_name": "LINUS",
        "authorized_official_middle_name": "UCHECHUKWU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-530-2106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "209015479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANVILLE PEDITRICS AND FAMILY CENTRE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.