Bayside Employee Health Center

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

1249 Issued in ME

Legal business name

BAYSIDE EMPLOYEE HEALTH CENTER

Practice address

323 Marginal Way
Portland, ME 04101-2543

Phone

(207) 780-6631

Fax

(207) 780-6320

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jane Glass, DO

Title

Owner Physiatrist

Phone

(207) 780-6631

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Susan B. Upham, M.D., M.P.H.

  • Occupational Medicine Physician
  • Portland, ME
  • NPI 1265565683
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871668947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MARGINAL WAY",
            "address_2": "PO BOX 697",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012543",
            "telephone_number": "207-780-6631",
            "fax_number": "207-780-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARGINAL WAY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012543",
            "telephone_number": "207-780-6631",
            "fax_number": "207-780-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE EMPLOYEE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER PHYSIATRIST",
        "authorized_official_telephone_number": "207-780-6631",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ME",
            "license": "1249",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ME",
            "license": "013905",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ME",
            "license": "PA-042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Elizabeth Baxter-Musser, LCSW
• Emily Paige Baxter, MD
• Bay Wellness Family Chiropractic LLC.
• Christian Bayingana, MD
• Bayside Care LLC
• Bayside Neurorehabilitation Services
• Bayside Psychology and Consulting, LLC
• Allison L. Baysol, PA-C
• Bayview Care Agency LLC
• Richard A Bazarian, MD

• Point of Service in Portland, ME
• Providers in Portland, ME by specialty
• Point of Service in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.