Provider Demographics
NPI:1053329375
Name:BAY PATHOLOGY ASSOCIATES PA
Entity Type:Organization
Organization Name:BAY PATHOLOGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINRACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-769-7963
Mailing Address - Street 1:PO BOX 15759
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32406-5759
Mailing Address - Country:US
Mailing Address - Phone:850-769-7963
Mailing Address - Fax:850-769-0892
Practice Address - Street 1:760 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4003
Practice Address - Country:US
Practice Address - Phone:850-769-7963
Practice Address - Fax:850-769-0892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99188OtherBLUE CROSS BLUE SHIELD
FLCB1932OtherRAILROAD MEDICARE
FL060070900Medicaid
FL060070900Medicaid