NPIMap

Organization Active NPI

Bayside Family Medicine Chesterfield PC

  • Family Medicine Physician
  • Chesterfield, MI
National Provider Identifier
1790018315
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301058573 Issued in MI
Legal business name
BAYSIDE FAMILY MEDICINE CHESTERFIELD PC
Practice address
31225 23 Mile Rd
Chesterfield, MI 48047-1848
Phone
(586) 598-2900
Fax
(586) 598-2905
NPI assigned
Sep 14, 2009
Last updated
Sep 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Dr. Kathleen Ann Rheaume, MDNPI 1548255672
Title
President
Phone
(586) 598-2900

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 4301058573 MI Primary

Addresses

Primary practice location

31225 23 Mile Rd
Chesterfield, MI 48047-1848

Mailing address

31225 23 Mile Rd
Chesterfield, MI 48047-1848
Phone (586) 598-2900

Other identifiers 1

IdentifierTypeStateIssuer
4619550MedicaidMI

Other names 1

  • Bayside Family Medicine Former legal business name

National Provider Directory

National Provider Directory

Locations

31225 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 598-2900

6800 Newark Rd
Ste 100
Imlay City, MI 48444
Phone (810) 724-3445

Practitioners & affiliated clinicians

Practitioners 51

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.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1790018315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31225 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471848",
            "telephone_number": "586-598-2900",
            "fax_number": "586-598-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31225 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471848",
            "telephone_number": "586-598-2900",
            "fax_number": "586-598-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE FAMILY MEDICINE CHESTERFIELD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "RHEAUME",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-598-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301058573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4619550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Family Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.