Bayside Allergy, P.C. in Traverse City - Allergy
Bayside Allergy, P.C. - NPI 1831388537
Bayside Allergy, P.C. is a Allergy in Traverse City, Michigan. Bayside Allergy, P.C. practices all healthcare services and medical treatments related to Allergy. The NPI Number for Bayside Allergy, P.C. is 1831388537. The last update date is 2021-10-05.
Bayside Allergy, P.C.'s current location address is 447 Munson Ave, Traverse City, Michigan. You can contact this provider via phone number 2319299090 and fax number 2319299092. The mailing address for Bayside Allergy, P.C. is 447 Munson Ave, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bayside Allergy, P.C. |
|---|---|
| Address | 447 Munson Ave, Traverse City, Michigan |
| Phone Number | 2319299090 |
| Fax Number | 2319299092 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mcclellan Iii Steele James |
| Credentials | MD |
| Telephone Number | 2319299090 |
NPI Number Detail
| NPI Number | 1831388537 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2021-10-05 |
Provider Mailing Address Detail
| Address | 447 Munson Ave |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496863084 |
| Phone Number | 2319299090 |
| Fax Number | 2319299092 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | JM073559 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124089073 | MI | -- | |
| 1831388537 | MI | BAYSIDE ALLERGY PC | |
| 1124089073 | MI | JAMES S MCCLELLAN III MD | |
| 1831388537 | MI | R/R MEDICARE NPI | |
| 030B812180 | MI | BCBS | |
| 1831388537 | MI | GROUP NPI NUMBER | |
| DN0970 | MI | R/R MEDICARE GRP PTAN | |
| 1124089073 | MI | INDIVIDUAL NPI NUMBER | |
| G38913 | MI | PRIORIITY NUMBER | |
| 0P50390 | MI | MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bayside Allergy, P.C.?
The Bayside Allergy, P.C. has been issued the NPI (National Provider Identifier) 1831388537 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Bayside Allergy, P.C.?
The Bayside Allergy, P.C. is physically situated at 447 Munson Ave, in the city of Traverse City, state of MI, with the postal code 496863084.
What is Bayside Allergy, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bayside Allergy, P.C. is Allergy, and the corresponding taxonomy classification code for this specialized field is 207Ka0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831388537 to Bayside Allergy, P.C.?
The Bayside Allergy, P.C. received its 1831388537 assignment from the Centers for Medicare & Medicaid Services on 2007-10-18.
When was the information related to Bayside Allergy, P.C. most recently updated or refreshed?
The details pertaining to the Bayside Allergy, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-05.
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