NPIMap

Organization Active NPI

Bayfront Physician Specialty Service

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1841477890
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BAYFRONT PHYSICIAN SPECIALTY SERVICE
Practice address
603 Seventh St S
Sutie 450
St. Petersburg, FL 33701-4891
Phone
(727) 893-6283
Fax
(727) 893-6914
NPI assigned
Jan 22, 2008
Organization subpart
Yes
Parent organization
BAYFRONT MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Steven A Rich
Title
Executive Director
Phone
(727) 893-6223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

603 Seventh St S
Sutie 450
St. Petersburg, FL 33701-4891

Mailing address

701 Sixth St. S.
St. Petersburg, FL 33701-4891
Phone (727) 893-6283

Other identifiers 1

IdentifierTypeStateIssuer
00181560MedicaidFL

National Provider Directory

National Provider Directory
Part of
Bayfront Neonatology Services

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3123/brand/3/csg/41/fhir/r4

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1841477890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SIXTH ST. S.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337014891",
            "telephone_number": "727-893-6283",
            "fax_number": "727-893-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SEVENTH ST S",
            "address_2": "SUTIE 450",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337014891",
            "telephone_number": "727-893-6283",
            "fax_number": "727-893-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYFRONT PHYSICIAN SPECIALTY SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYFRONT MEDICAL CENTER, INC.",
        "enumeration_date": "2008-01-22",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-893-6223"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00181560",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.