Organization Active NPI

Baytree Medical Group LLC

  • Family Medicine Physician
  • Melbourne, FL
National Provider Identifier
1780874628
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME95892 Issued in FL
Legal business name
BAYTREE MEDICAL GROUP LLC
Practice address
8040 N Wickham Rd
Ste 102
Melbourne, FL 32940-8298
Phone
(321) 254-6803
Fax
(321) 254-6819
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Rebecca P Hunton, M.D.NPI 1295776516
Title
Physician/Owner
Phone
(321) 254-6803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME95892 FL Primary

Addresses

Primary practice location

8040 N Wickham Rd
Ste 102
Melbourne, FL 32940-8298

Mailing address

8040 N Wickham Rd
Ste 102
Melbourne, FL 32940-8298
Phone (321) 254-6803

National Provider Directory

National Provider Directory

Locations

8040 N Wickham Rd
Ste 102
Melbourne, FL 32940
Phone (321) 254-6803

21 Suntree Pl
Ste 101
Melbourne, FL 32940
Phone (321) 241-6535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1780874628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 N WICKHAM RD",
            "address_2": "STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408298",
            "telephone_number": "321-254-6803",
            "fax_number": "321-254-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 N WICKHAM RD",
            "address_2": "STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408298",
            "telephone_number": "321-254-6803",
            "fax_number": "321-254-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYTREE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "HUNTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "321-254-6803",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.