Bayside Pediatrics, Llc

LBN: Bayside Pediatrics, Llc
Bayside Pediatrics, Llc is an health care organization with primary practice located at 28490 2Nd St , Daphne AL 36526-7150. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Bayside Pediatrics, Llc can be contacted via phone (251) 300-2030, or through Peterson, Raymond D.A. via phone (251) 300-2033.

Contact Information

Primary practice address
28490 2Nd St Daphne AL 36526-7150
Phone: (251) 300-2030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Raymond D.A. Doctor of Medicine (MD)
Phone: (251) 300-2033

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00006735 Alabama

Profile Details

NPI number 1245502327
LBN Legal business name Bayside Pediatrics, Llc
DBA Doing business as
Authorized official Peterson, Raymond D.A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2012
Last updated Feb 3rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245502327 NPPES
Alabama MEDICAID 529926260

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