Bayside Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAYSIDE MEDICAL

Practice address

13111 Coastal Hwy
Ocean City, MD 21842-4623

Phone

(410) 250-9985

NPI assigned

Jun 17, 2006

Reactivated

Dec 17, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Jamisen McIntire

Title

Billing Manager

Phone

(410) 250-9985

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Thomas B Fioretti, MD

  • Family Medicine Physician
  • Ocean City, MD
  • NPI 1215979521
  NPD (past)
• Jock Simon, MD

  • Family Medicine Physician
  • Ocean City, MD
  • NPI 1770527699
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1477598233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 COASTAL HWY",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218424623",
            "telephone_number": "410-250-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 COASTAL HWY",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218424623",
            "telephone_number": "410-250-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-12-17",
        "deactivation_date": "2010-10-25",
        "reactivation_date": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "MCINTIRE",
        "authorized_official_first_name": "JAMISEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-250-9985",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlantic Portable X-Ray, Inc.
• Maranatha K Baah, PHARM.D
• Jean Baron, RN
• Michael Bartels, PHARM.D.
• Amanda Barton, LCSW-C
• Kali Becker
• Moa Biftu, PHARMD
• Rachael C Boswell
• Kyle Bowen, PA-C
• Melissa Larae Braniff

• Family Medicine Physician in Ocean City, MD
• Providers in Ocean City, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.