NPIMap

Organization Active NPI

Bay Radiology Associates, PL

  • Diagnostic Radiology Physician
  • Panama City, FL
National Provider Identifier
1538136395
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BAY RADIOLOGY ASSOCIATES, PL
Practice address
527 N. Palo Alto Ave.
Panama City, FL 32401-3639
Phone
(850) 747-4905
Fax
(850) 747-4907
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Lloyd G. Logue, D.O.NPI 1992776066
Title
President
Phone
(850) 747-4905

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

527 N. Palo Alto Ave.
Panama City, FL 32401-3639

Mailing address

PO Box 1770
Panama City, FL 32402-1770
Phone (850) 747-4905

Other identifiers 3

IdentifierTypeStateIssuer
00548OtherFLBCBS
069999300MedicaidFL
00548OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040911000240 FL Part B Supplier - Clinic/Group Practice 3678540440 Receives reassigned benefits from 3 practitioners
Practice locations: Port St Joe, FL; Panama City Beach, FL; Panama City, FL; Lynn Haven, FL; Apalachicola, FL; Blountstown, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

330 W 23rd St
Ste D
Panama City, FL 32405

521 N Palo Alto Ave
Panama City, FL 32401
Phone (850) 763-7458

8128 W Highway 98
Ste K
Panama City, FL 32407

2933 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 215-9558

9223 Front Beach Rd
Panama City Beach, FL 32407

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1538136395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324021770",
            "telephone_number": "850-747-4905",
            "fax_number": "850-747-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N. PALO ALTO AVE.",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013639",
            "telephone_number": "850-747-4905",
            "fax_number": "850-747-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RADIOLOGY ASSOCIATES, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "LOGUE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-747-4905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00548",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069999300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.