NPIMap

Organization Active NPI

Bayfront Medical Center, Inc.

  • Clinical Medical Laboratory
  • St Petersburg, FL
National Provider Identifier
1629323076
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
4303 Issued in FL
Legal business name
BAYFRONT MEDICAL CENTER, INC.
Practice address
701 6TH St S
St Petersburg, FL 33701-4814
Phone
(727) 893-1234
Fax
(727) 893-6961
NPI assigned
Jul 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Mr. Robert Thornton
Title
Senior VP Finance & Cfo
Phone
(727) 893-3250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 4303 FL Primary

Addresses

Primary practice location

701 6TH St S
St Petersburg, FL 33701-4814

Mailing address

701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 893-1234

Other identifiers 2

IdentifierTypeStateIssuer
010156700MedicaidFL
010156701MedicaidFL

Other names 1

  • Bayfront Pathology Lab Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0291428Orlando Health Bayfront Hospital701 6TH Street South, Saint Petersburg, FL 33701AccreditationFeb 27, 2027
10D2334491Ohi West Medical Group, LLC701 6TH St S Ste B, Saint Petersburg, FL 33701Certificate of waiverNov 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bayfront Neonatology Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1629323076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-893-1234",
            "fax_number": "727-893-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-893-1234",
            "fax_number": "727-893-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYFRONT MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SENIOR VP FINANCE & CFO",
        "authorized_official_telephone_number": "727-893-3250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "4303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010156700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010156701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayfront Pathology Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.