NPIMap

Organization Active NPI

Bayhealth Medical Center, Inc

Doing business as Bayhealth Maternal Fetal Medicine, Kent Campus

  • Maternal & Fetal Medicine Physician
  • Dover, DE
National Provider Identifier
1992262703
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
BAYHEALTH MEDICAL CENTER, INC
Doing business as
Bayhealth Maternal Fetal Medicine, Kent Campus
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 744-7000
Fax
(302) 744-7181
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Michael Tretina
Title
Sr. Vice President/Cfo
Phone
(302) 744-7162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X NU Primary

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7000

Other practice location 1

1060 S Governors Ave
Dover, DE 19904-6920
Phone (302) 744-6220

Other names 1

  • Bayhealth Maternal Fetal Medicine, Kent Campus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kent General Hospital27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

1060 S Governors Ave
Dover, DE 19904
Phone (302) 744-6220

Practitioners & affiliated clinicians

Practitioners 1

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": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1992262703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7000",
            "fax_number": "302-744-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7000",
            "fax_number": "302-744-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 S Governors Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199046920",
            "country_code": "US",
            "telephone_number": "302-744-6220",
            "fax_number": "302-734-8454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYHEALTH MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "TRETINA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "302-744-7162"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayhealth Maternal Fetal Medicine, Kent Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayhealth Maternal Fetal Medicine, Kent Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.