Active NPI
Andrew Alex Whiteside, DO
- Family Medicine Physician
- Bay City, MI
National Provider Identifier
1710330634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101022548
- Practice address
- 901 S Henry St
Bay City, MI 48706-5076 - Phone
- (989) 894-9000
- Fax
- (989) 894-9018
- NPI assigned
- Jul 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101022548 | MI | Primary |
Addresses
Primary practice location
901 S Henry St
Bay City, MI 48706-5076
Mailing address
901 S Henry St
Bay City, MI 48706-5076
Phone (989) 894-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 S Henry St
Bay City, MI 48706-5076
Phone (989) 894-9000
Hospital & facility affiliations
- Advisacare
- McLaren Home Health
- McLaren Bay Region
- Mymichigan Medical Center Midland
- McLaren Central Michigan
- Covenant Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bay City, MI
- NPI 1265543912
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Flint, MI
- NPI 1700154770
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- Rural Acute Care Hospital
- Mt Pleasant, MI
- NPI 1619941317
-
- Home Health Agency
- Bay City, MI
- NPI 1932143682
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1710330634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S HENRY ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487065076",
"telephone_number": "989-894-9000",
"fax_number": "989-894-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S HENRY ST",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487065076",
"telephone_number": "989-894-9000",
"fax_number": "989-894-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "ANDREW",
"middle_name": "ALEX",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-15",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101022548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.