CMS-1500 Box 24J / 33a • NPI
1346423480
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207PE0004X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
2801 BAY PARK DR, OREGON, OH, 43616-4920
✓ 9-Digit EDI 837 ZIP+4 (43616-4920)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1346423480 (BAY PARK COMMUNITY HOSPITAL) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1346423480 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BAY PARK COMMUNITY HOSPITAL |
| Plain-English Specialty | Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: 207PE0004X (Emergency Medicine, Emergency Medical Services) |
| Certifying / Licensing Body | American Board of Emergency Medicine (ABEM) |
| Practice Location Address | 2801 BAY PARK DR, OREGON, OH, 43616-4920 |
| Practice Telephone / Fax | Tel: (419) 690-7900 |
| Administrative Mailing Address | PO BOX 633390, CINCINNATI, OH, 45263-0001 |
| Enumeration & Last Sync | Enumerated: 2007-12-12 | CMS Record Updated: 2007-12-12 |
| Authorized Official | DARRIN ARQUETTE (CFO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207PE0004X)
What Does Taxonomy Code 207PE0004X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207PE0004X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BAY PARK COMMUNITY HOSPITAL)
Typical CPT / Diagnostic Procedures:- Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
- Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
- Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
- Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
- Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
- Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207PE0004X — Emergency Medicine, Emergency Medical ServicesPlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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