Provider Demographics
NPI:1396867503
Name:BAY POINT MATERNITY AND WOMENS HEALTH, L.L.C.
Entity Type:Organization
Organization Name:BAY POINT MATERNITY AND WOMENS HEALTH, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-302-4884
Mailing Address - Street 1:1029 NICHOLS RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:OSAGE BEACH
Mailing Address - State:MO
Mailing Address - Zip Code:65065-3008
Mailing Address - Country:US
Mailing Address - Phone:573-302-4884
Mailing Address - Fax:573-302-4434
Practice Address - Street 1:1029 NICHOLS RD
Practice Address - Street 2:SUITE E
Practice Address - City:OSAGE BEACH
Practice Address - State:MO
Practice Address - Zip Code:65065-3008
Practice Address - Country:US
Practice Address - Phone:573-302-4884
Practice Address - Fax:573-302-4434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001022245207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty