Bayway Medical Clinic Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

ME67437 Issued in FL

Legal business name

BAYWAY MEDICAL CLINIC INC

Practice address

5901 Sun Blvd
#113
St Petersburg, FL 33715-1166

Phone

(727) 867-7910

Fax

(727) 867-6379

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Scott H Plantz, M.D.

Title

Director

Phone

(727) 867-7910

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jesse A Cole, MD

  • Diagnostic Radiology Physician
  • Butte, MT
  • NPI 1770520173
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1447426002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SUN BLVD",
            "address_2": "#113",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151166",
            "telephone_number": "727-867-7910",
            "fax_number": "727-867-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SUN BLVD",
            "address_2": "#113",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151166",
            "telephone_number": "727-867-7910",
            "fax_number": "727-867-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYWAY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "PLANTZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-867-7910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME67437",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME67437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kisha Nicole Bazelais, PHD
• Be Your Best Self & Thrive Counseling, PLLC.
• Beach Baby Pediatric Therapy, LLC

• Urgent Care Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.