Provider Demographics
NPI:1184773293
Name:BAY CITY ORTHOPEDIC SURGERY, P. C.
Entity type:Organization
Organization Name:BAY CITY ORTHOPEDIC SURGERY, P. C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CHERWIN
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:989-892-0099
Mailing Address - Street 1:204 E MUNDY ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-5154
Mailing Address - Country:US
Mailing Address - Phone:989-892-0099
Mailing Address - Fax:989-892-6514
Practice Address - Street 1:204 E MUNDY ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-5154
Practice Address - Country:US
Practice Address - Phone:989-892-0099
Practice Address - Fax:989-892-6514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MITC009174207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1757490Medicaid
MI2050900195OtherBCBS
MIE26807Medicare UPIN
MI2050900195OtherBCBS