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NPI Code Detail

MEDICARE: BAYVIEW PHYSICIAN SERVICES, PC

MEDICARE: BAYVIEW PHYSICIAN SERVICES, PC
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
1208000000XPediatrics Physician
2208600000XSurgery Physician
3261QS1200XSleep Disorder Diagnostic Clinic/Center
4208C00000XColon & Rectal Surgery Physician
5207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) Physician
6207RR0500XRheumatology Physician
7207RE0101XEndocrinology, Diabetes & Metabolism Physician
8213E00000XPodiatrist
9207R00000XInternal Medicine Physician
10207V00000XObstetrics & Gynecology Physician
11207RC0000XCardiovascular Disease Physician
12207RC0200XCritical Care Medicine (Internal Medicine) Physician
13207RS0012XSleep Medicine (Internal Medicine) Physician
14207RP1001XPulmonary Disease Physician
15207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1508813387
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYVIEW PHYSICIAN SERVICES, PC
Provider Business Mailing Address
First Line : 3241 WESTERN BRANCH BLVD
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-5260
Country : US
Telephone Number : 757-686-3508
Fax Number : 757-686-0541
Provider Business Practice Location Address
First Line : 3241 WESTERN BRANCH BLVD
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23321-5260
Country : US
Telephone Number : 757-686-3508
Fax Number : 757-686-0541
Authorized Official
Title or Position : DIRECTOR
Name : JEFFREY DAVID FORMAN
Credential :
Telephone Number : 757-686-3508
Provider Enumeration Date : 05/27/2006
Last Update Date : 12/30/2025

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Practice Location Address:
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23321-5260
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Practice Fax:
1770550337 — MR. GEORGE L MARKHAM III PAC
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CHESAPEAKE, VA
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1043273832 — JEANNINE M LEADBEATER MD
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CHESAPEAKE, VA
23321-5260
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Practice Fax: 757-686-0541
1821027707 — MED SYSTEMS ASSOCIATES
Practice Location Address:
3241 WESTERN BRANCH BLVD
CHESAPEAKE, VA
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Practice Fax: 757-686-0541
1841207586 — MICHAEL A SOTOSKY MD
Practice Location Address:
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CHESAPEAKE, VA
23321-5260
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Practice Fax: 757-686-0541
1487733234 — NANDITA KRISHNA PADIYAR M.D.
Practice Location Address:
3241 WESTERN BRANCH BLVD
CHESAPEAKE, VA
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Practice Phone: 757-686-3508
Practice Fax: 757-686-0541

Directions to “BAYVIEW PHYSICIAN SERVICES, PC ” Practice Location

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