Bay City Orthocare LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6000006121 Issued in PA

Legal business name

BAY CITY ORTHOCARE LLC

Practice address

2313 Peach St
Erie, PA 16502-2822

Phone

(814) 452-4632

Fax

(814) 452-4636

NPI assigned

Jul 5, 2005

Last updated

Sep 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane L Desarro

Title

Administrative Director

Phone

(814) 452-4632

Specialties & licenses 2

Addresses

Other identifiers 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bay City Orthocare LLC

  • Prosthetic/Orthotic Supplier
  • Meadville, PA
  • NPI 1801950001
  NPPES parent name

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1942207121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022822",
            "telephone_number": "814-452-4632",
            "fax_number": "814-452-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022822",
            "telephone_number": "814-452-4632",
            "fax_number": "814-452-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITY ORTHOCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "DESARRO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "814-452-4632"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000006121",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019531980003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC HIGHMARK",
            "identifier": "001428224",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M. Bauman, D.O.
• Stephanie Baumgratz, PHD LMFT
• Donald L Baxter Jr., MD
• Robert Louis Baxter, DDS
• Bay City Associates in Podiatry Inc
• Bay City Psychiatry
• Bay City Psychiatry
• Bay City Psychiatry, LLC
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc.

• Durable Medical Equipment & Medical Supplies in Erie, PA
• Providers in Erie, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.