Provider Demographics
NPI:1225217912
Name:BAY MEADOWS FAMILY MEDICINE, LLC
Entity Type:Organization
Organization Name:BAY MEADOWS FAMILY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:R
Authorized Official - Last Name:SIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-691-6781
Mailing Address - Street 1:2815 DUSTIN RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3495
Mailing Address - Country:US
Mailing Address - Phone:419-691-6781
Mailing Address - Fax:419-691-0082
Practice Address - Street 1:2815 DUSTIN RD
Practice Address - Street 2:SUITE C
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3495
Practice Address - Country:US
Practice Address - Phone:419-691-6781
Practice Address - Fax:419-691-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty