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BAY PEDIATRIC CLINIC
NPI 1326101205
Specialist in Bay City, MI

Active since December 19, 2006CLIA 23D2102651 · Waiver
2110 16TH ST, BAY CITY, MI 48708(989) 892-2517(989) 892-4860 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bay Pediatric Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAY PEDIATRIC CLINIC (NPI 1326101205) is a healthcare organization registered as a specialist in Bay City, Michigan and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Lois Marie Monville, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1326101205
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBAY PEDIATRIC CLINIC
Location Address2110 16TH STBay City, MI 48708-7609
Mailing Address2110 16th StBay City, MI 48708-7609 · (989) 892-2517 · Fax (989) 892-4860
Phone(989) 892-2517
Fax(989) 892-4860
Organization SubpartNo
Authorized OfficialLois Marie MonvilleOffice Manager · (989) 892-2517
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326101205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2110 16TH ST, Bay City, MI 48708
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Other Identifiers 1

Other350Z96028MI · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2102651

Bay Pediatric Clinic P C · Bay City, MI
Active · expires Sep 27, 2027
CLIA Number23D2102651
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorBilugli M. Sundara
Laboratory Phone(989) 892-2517
Laboratory LocationBay Pediatric Clinic P C2110 16th Street, Bay City, MI 48708
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN A HOWLAND M.D.
Internal Medicine (Rheumatology)
2110 16TH ST
BAY CITY, MI 48708
Bay County (989) 892-1231
CHRISTINE MCGUINNESS OTR/L
Occupational Therapist
2110 16TH ST
BAY CITY, MI 48708
Bay County (989) 225-0161
DENESHA SANGSTER
Speech-Language Pathologist
2110 16TH ST
BAY CITY, MI 48708
Bay County (989) 667-2320
TRICIA HUMERICKHOUSE PA
Physician Assistant
2110 16TH ST
BAY CITY, MI 48708
Bay County (989) 846-3564
JAMIE LYNN MILLER OTR/L
Occupational Therapist
2110 16TH ST
BAY CITY, MI 48708
Bay County (989) 522-5899
TAZEEN AHMED MD
Internal Medicine (Geriatric Medicine)
2110 16TH ST, STE. 4
BAY CITY, MI 48708
Bay County (989) 891-9000
AMY WEATHERWAX
Physical Therapy Assistant
2110 16TH ST
BAY CITY, MI 48708
Bay County (989) 545-0110
MR. BILUGALI SUNDARA M.D.
Specialist
2110 16TH ST, STE 4
BAY CITY, MI 48708
Bay County (989) 892-2517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bay Pediatric Clinic's NPI number?

The NPI number for Bay Pediatric Clinic is 1326101205. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Bay Pediatric Clinic located?

Bay Pediatric Clinic is located at 2110 16th St, Bay City, MI 48708. The listed phone number is (989) 892-2517.

What is Bay Pediatric Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Bay Pediatric Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2102651) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bay Pediatric Clinic accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bay Pediatric Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bay Pediatric Clinic was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.