Active NPI
Bayside Anesthesia Service PLLC
- Anesthesiology Physician
- Harlingen, TX
National Provider Identifier
1992065239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M8177
- Legal business name
- BAYSIDE ANESTHESIA SERVICE PLLC
- Practice address
- 512 Victoria LN Ste 5
Harlingen, TX 78550-3227 - Phone
- (956) 421-5660
- NPI assigned
- May 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert McIntosh
- Title
- Owner
- Phone
- (956) 245-9739
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M8177 | TX | Primary |
Addresses
Primary practice location
512 Victoria LN Ste 5
Harlingen, TX 78550-3227
Mailing address
512 Victoria LN Ste 5
Harlingen, TX 78550-3227
Phone (956) 421-5660
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337558400000",
"number": "1992065239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 VICTORIA LN STE 5",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785503227",
"telephone_number": "956-421-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 VICTORIA LN STE 5",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785503227",
"telephone_number": "956-421-5660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYSIDE ANESTHESIA SERVICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A",
"authorized_official_last_name": "MCINTOSH",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-245-9739"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "TX",
"license": "M8177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.