Organization Active NPI

Baywest Medical, LLC

  • Chiropractor
  • New Port Richey, FL
National Provider Identifier
1659016509
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BAYWEST MEDICAL, LLC
Practice address
5633 State Road 54
New Port Richey, FL 34652-6020
Phone
(727) 372-0091
Fax
(727) 372-0192
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Jenifer McCowan
Title
Administration
Phone
(727) 372-0091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

5633 State Road 54
New Port Richey, FL 34652-6020

Mailing address

5633 State Road 54
New Port Richey, FL 34652-6020
Phone (727) 372-0091

Other names 1

  • BAYWESTMEDICAL, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220919000004 FL Part B Supplier - Clinic/Group Practice 2567847148 Receives reassigned benefits from 5 practitioners
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1659016509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526020",
            "telephone_number": "727-372-0091",
            "fax_number": "727-372-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526020",
            "telephone_number": "727-372-0091",
            "fax_number": "727-372-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYWEST MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MCCOWAN",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "727-372-0091"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYWESTMEDICAL, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAYWESTMEDICAL, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.