Bay Medical Associates, P.a.

Key facts

NPI: 1891728093
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
Legal business name: BAY MEDICAL ASSOCIATES, P.A.
Practice address: 4 Elliot Way
Suite 102
Manchester, NH 03103-3547
Phone: (603) 626-5900
Fax: (603) 625-2180
NPI assigned: Jul 9, 2006
Organization subpart: No

Authorized official

Name: Peter Q Kachavos, M.D.
Title: Treasurer
Phone: (603) 626-5900

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207R00000X			Yes

Addresses

Primary practice location

4 Elliot Way
Suite 102
Manchester, NH 03103-3547

Mailing address

4 Elliot Way
Suite 102
Manchester, NH 03103-3547
Phone (603) 626-5900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891728093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY",
            "address_2": "SUITE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033547",
            "telephone_number": "603-626-5900",
            "fax_number": "603-625-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ELLIOT WAY",
            "address_2": "SUITE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033547",
            "telephone_number": "603-626-5900",
            "fax_number": "603-625-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KACHAVOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "603-626-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

All providers in Manchester, NH · Internal Medicine Physician in New Hampshire

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.