MEDICARE: BAY AREA PEDIATRICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0041579	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760649958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA PEDIATRICS, LLC

Provider Business Mailing Address
First Line	:	165 LOG CANOE CIR
Second Line	:	SUITE E
City	:	STEVENSVILLE
State	:	MD
Zip	:	21666-2149
Country	:	US
Telephone Number	:	410-643-1000
Fax Number	:	410-643-5200

Provider Business Practice Location Address
First Line	:	165 LOG CANOE CIR
Second Line	:	SUITE E
City	:	STEVENSVILLE
State	:	MD
Zip	:	21666-2149
Country	:	US
Telephone Number	:	410-643-1000
Fax Number	:	410-643-5200

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	DR. DEMETRIOS JAMES KALLIONGIS
Credential	:	MD
Telephone Number	:	410-643-2275

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	05/16/2008

Similar Medicare Providers

1831198944 — DR. DEMETRIOS J KALLIONGIS MD
Practice Location Address:

165 LOG CANOE CIR , SUITE E
STEVENSVILLE, MD
21666-2149

Practice Phone: 410-643-1000
Practice Fax: 410-643-5200

1063073450 — WYE OAK THERAPEUTIC SERVICES, LLC
Practice Location Address:

165 LOG CANOE CIR STE B-3
STEVENSVILLE, MD
21666-2149

Practice Phone: 443-249-3351
Practice Fax:

1164045969 — MALLEY K HESTER EVERNGAM LCSW-C
Practice Location Address:

165 LOG CANOE CIR STE B-3
STEVENSVILLE, MD
21666-2149

Practice Phone: 443-282-8720
Practice Fax:

1053075648 — MRS. RENEE MCGUIRE NEUENS RN, BSN, IBCLC
Practice Location Address:

165 LOG CANOE CIRCLE SUITE E , 165 LOG CANOE CIRCLE SUITE E
STEVENSVLLE, MD
21666-2149

Practice Phone: 301-466-1142
Practice Fax:

1003657388 — NURSE RX CORP
Practice Location Address:

203 ROMANCOKE RD STE 503
STEVENSVILLE, MD
21666-2686

Practice Phone: 410-200-8330
Practice Fax: 800-682-0650

1205953288 — UNITED COMMUNITIES VOL FIRE DEPT INCORPORATED ROMANCOKE
Practice Location Address:

9406 ROMANCOKE RD
STEVENSVILLE, MD
21666-3616

Practice Phone: 410-643-1162
Practice Fax: 410-643-1163

Directions to “BAY AREA PEDIATRICS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.