NPIMap

Organization Active NPI

Bay Hematology Oncology, P.a.

  • Adult Health Nurse Practitioner
  • Centreville, MD
National Provider Identifier
1871032409
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AC000387 Issued in MD
Legal business name
BAY HEMATOLOGY ONCOLOGY, P.A.
Practice address
2977 4H Park Rd
Suite 102
Centreville, MD 21617-2232
Phone
(410) 758-4030
Fax
(410) 758-4733
NPI assigned
Feb 15, 2017
Last updated
Feb 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Sharon K Booze
Title
Practice Manager
Phone
(410) 820-5945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AC000387 MD Primary

Addresses

Primary practice location

2977 4H Park Rd
Suite 102
Centreville, MD 21617-2232

Mailing address

2977 4H Park Rd
Suite 102
Centreville, MD 21617-2232
Phone (410) 758-4030

Other identifiers 1

IdentifierTypeStateIssuer
100820000MedicaidMD

Other names 1

  • Nancy LA Bunce Other name

National Provider Directory

National Provider Directory
Tax ID family
Bay Hematology Oncology PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1871032409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 4H PARK RD",
            "address_2": "SUITE 102",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172232",
            "telephone_number": "410-758-4030",
            "fax_number": "410-758-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 4H PARK RD",
            "address_2": "SUITE 102",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172232",
            "telephone_number": "410-758-4030",
            "fax_number": "410-758-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY HEMATOLOGY ONCOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BOOZE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "410-820-5945"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "AC000387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100820000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nancy LA Bunce",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Centreville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.