Organization Active NPI

Richard J Horbal MD PC

Doing business as Bay Allergy Clinic

  • Allergy Physician
  • Bay City, MI
National Provider Identifier
1457425688
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
4301039488 Issued in MI
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

Updated by the provider on Jul 23, 2009

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.NPI 1548244619
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)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1100900191OtherMIHEALTHPLUS
030Z91175OtherMIBCBSM GROUP PIN
DG8718OtherMIRR MEDICARE
1433385 10MedicaidMI
0300900191OtherMIBCBSM

Other names 1

  • BAY ALLERGY CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Bay Allergy Clinic2 organizations share this tax ID, including this one

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.

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.

Verify at the official NPI Registry.