Provider Demographics
NPI:1134101090
Name:BAYS, MICHAEL (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:BAYS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21260 OLEAN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-6742
Mailing Address - Country:US
Mailing Address - Phone:941-625-4270
Mailing Address - Fax:941-625-1751
Practice Address - Street 1:21260 OLEAN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-6742
Practice Address - Country:US
Practice Address - Phone:941-625-4270
Practice Address - Fax:941-625-1751
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLOS0006177207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100009418OtherRAILROAD MEDICARE
FL246564OtherAVMED
FL9591505OtherGHI
FL2340289OtherCIGNA
FL370250200Medicaid
FL80613OtherBCBS
FL4234639OtherAETNA
FL1134101090OtherTRICARE
FL1238163OtherUNITED HEALTHCARE
FLF24616Medicare UPIN
FL1134101090OtherTRICARE