Active NPI
Richard J Horbal MD PC
Doing business as Bay Allergy Clinic
- Allergy Physician
- Bay City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 4301039488
- Legal business name
- RICHARD J HORBAL MD PC
- Doing business as
- Bay Allergy Clinic
- Practice address
- 414 N Tuscola Rd
Bay City, MI 48708-6962 - Phone
- (989) 895-5007
- Fax
- (989) 895-8032
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard J Horbal, M.D.
- Title
- President
- Phone
- (989) 895-5007
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 4301039488 | MI | Primary |
Addresses
Primary practice location
414 N Tuscola Rd
Bay City, MI 48708-6962
Mailing address
414 N Tuscola Rd
Bay City, MI 48708-6962
Phone (989) 895-5007
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100900191 | Other | MI | HEALTHPLUS |
| 030Z91175 | Other | MI | BCBSM GROUP PIN |
| DG8718 | Other | MI | RR MEDICARE |
| 1433385 10 | Medicaid | MI | |
| 0300900191 | Other | MI | BCBSM |
Other names 1
- BAY ALLERGY CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061204000039 | MI | Part B Supplier - Clinic/Group Practice | 5395744296 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Bay City, MI; Midland, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba midland allergy clinic
- Allergy Physician
- Midland, MI
- NPI 1336228360
O20061204000039
National Provider Directory
National Provider Directory- Tax ID family
- Bay Allergy Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Bay City, MI
- NPI 1548244619
-
- Allergy & Immunology Physician
- Midland, MI
- NPI 1538396239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248307200000",
"number": "1457425688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 N TUSCOLA RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487086962",
"telephone_number": "989-895-5007",
"fax_number": "989-895-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N TUSCOLA RD",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487086962",
"telephone_number": "989-895-5007",
"fax_number": "989-895-8032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD J HORBAL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2009-07-23",
"status": "A",
"authorized_official_last_name": "HORBAL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-895-5007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "MI",
"license": "4301039488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "1100900191",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP PIN",
"identifier": "030Z91175",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DG8718",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1433385 10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0300900191",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BAY ALLERGY CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.