BAYSIDE ALLERGY, P.C. – NPI #1831388537
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

BAYSIDE ALLERGY, P.C. is an allergy & immunologist located in TRAVERSE CITY, MI. NPPES has assigned the NPI number 1831388537 to BAYSIDE ALLERGY, P.C. on October 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 5 years ago on Oct 05, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAYSIDE ALLERGY, P.C. below.

NPI Profile for
BAYSIDE ALLERGY, P.C.

NPI Number
1831388537
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAYSIDE ALLERGY, P.C.
Primary location
447 MUNSON AVE
TRAVERSE CITY, MI 49686-3084
Phone: (231) 929-9090 Fax: (231) 929-9092
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES MCCLELLAN III
OWNER
Phone: (231) 929-9090
Updated
Certification Date
Oct 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BAYSIDE ALLERGY, P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBAYSIDE ALLERGY PCMI1831388537
OTHERBCBSMI030B812180
OTHERGROUP NPI NUMBERMI1831388537
OTHERINDIVIDUAL NPI NUMBERMI1124089073
OTHERJAMES S MCCLELLAN III MDMI1124089073
OTHERMEDICARE GROUP NUMBERMI0P50390
OTHERPRIORIITY NUMBERMIG38913
OTHERR/R MEDICARE GRP PTANMIDN0970
OTHERR/R MEDICARE NPIMI1831388537
OTHERR/R MEDICARE PTANMIP00603999
OTHERR/R/MEDICARE MEMBER NPIMI1124089073
MEDICAIDMI1124089073
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)
MI JM073559

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.