Bay City Orthocare LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

6000006121 Issued in PA

Legal business name

BAY CITY ORTHOCARE LLC

Practice address

900 Water St
Meadville, PA 16335-3428

Phone

(814) 332-0024

Fax

(814) 332-0029

NPI assigned

Dec 21, 2006

Organization subpart

Yes

Parent organization

BAY CITY ORTHOCARE, LLCAs reported in NPPES

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

Authorized official

Name

Diane L Desarro

Title

Administrative Director

Phone

(814) 452-4632

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Bay City Orthocare LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bay City Orthocare LLC

  • Durable Medical Equipment & Medical Supplies
  • Erie, PA
  • NPI 1942207121
  NPPES parent name

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1801950001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022822",
            "telephone_number": "814-452-4632",
            "fax_number": "814-452-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WATER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353428",
            "telephone_number": "814-332-0024",
            "fax_number": "814-332-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITY ORTHOCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY CITY ORTHOCARE, LLC",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "DESARRO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "814-452-4632"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000006121",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000006121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019531980003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Barr, CRNP
• Clifton A. Barretta, DPM
• Michael Bartoletti
• Ashley Marie Bates, RN,BSN
• Bay City Associates in Podiatry Inc
• Bayada Home Health Care, Inc.
• Robert A. Bazylak, M.D.
• Lydia Beers
• Kimberly Belfiore
• Margaret Bell, COTA

• Prosthetic/Orthotic Supplier in Meadville, PA
• Providers in Meadville, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.