NPIMap

Organization Active NPI

Bayside Obstetrics Gynecology and Infertility Inc

  • Obstetrics & Gynecology Physician
  • Erie, PA
National Provider Identifier
1932192879
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BAYSIDE OBSTETRICS GYNECOLOGY AND INFERTILITY INC
Practice address
104 E 2ND St
3Rd Floor
Erie, PA 16507-1532
Phone
(814) 456-2229
Fax
(814) 455-8635
NPI assigned
Aug 25, 2005
Last updated
Sep 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Timothy J Weibel, M.D.
Title
President
Phone
(814) 456-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

104 E 2ND St
3Rd Floor
Erie, PA 16507-1532

Mailing address

104 E 2ND St
3Rd Floor
Erie, PA 16507-1532
Phone (814) 456-2229

Other names 1

  • Bayside OB/GYN Other name

National Provider Directory

National Provider Directory

Locations

104 E 2nd St
#3
Erie, PA 16507
Phone (814) 456-2229

3211 Liberty St
Ste 103
Erie, PA 16508
Phone (814) 456-2229

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1932192879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 2ND ST",
            "address_2": "3RD FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071532",
            "telephone_number": "814-456-2229",
            "fax_number": "814-455-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 2ND ST",
            "address_2": "3RD FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071532",
            "telephone_number": "814-456-2229",
            "fax_number": "814-455-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE OBSTETRICS GYNECOLOGY AND INFERTILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "WEIBEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-456-2229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside OB/GYN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.