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BAYSIDE ALLERGY P.C. NPI 1831388537


NPI Information

NPI: 1831388537
Provider Name: BAYSIDE ALLERGY, P.C.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
447 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 929-9090
Get Directions

BAYSIDE ALLERGY, P.C. is an allergy allergy immunology in Traverse City, MI. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee BAYSIDE ALLERGY, P.C. NPI is 1831388537. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

447 MUNSON AVE
TRAVERSE CITY, MI
ZIP 49686-084
Phone: (231) 929-9090
Fax: (231) 929-9092

The provider's authorized official is James Steele Mcclellan Iii .
The authorized official title is Owner and has the following contact phone number (231) 929-9090.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 10/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyJM073559MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11831388537OTHERMICHIGANGROUP NPI NUMBER
2DN0970OTHERMICHIGANR/R MEDICARE GRP PTAN
3G38913OTHERMICHIGANPRIORIITY NUMBER
41124089073OTHERMICHIGANINDIVIDUAL NPI NUMBER
50P50390OTHERMICHIGANMEDICARE GROUP NUMBER
61124089073MEDICAIDMICHIGAN
71831388537OTHERMICHIGANBAYSIDE ALLERGY PC
81124089073OTHERMICHIGANR/R/MEDICARE MEMBER NPI
91831388537OTHERMICHIGANR/R MEDICARE NPI
101124089073OTHERMICHIGANJAMES S MCCLELLAN III MD
11030B812180OTHERMICHIGANBCBS
12P00603999OTHERMICHIGANR/R MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.