BAZE MEDICAL PLLC
NPI 1770913592
Family Medicine in Hurst, TX
NPI Status: Active since November 14, 2013
Contact Information
1709 PRECINCT LINE RD
HURST, TX
ZIP 76054
Phone: (817) 281-0402
Fax: (817) 281-6364
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 45D0724811
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-21-2026
About BAZE MEDICAL PLLC
This page provides the complete NPI Profile along with additional information for Baze Medical Pllc, a primary care provider established in Hurst, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1770913592 assigned on November 2013. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Jonathan Welschmeyer (Practice Manager)
- NPI
- 1770913592
- Provider Name
- BAZE MEDICAL PLLC
- Entity Type
- Organization
- Location Address
- 1709 PRECINCT LINE RD HURST, TX 76054
- Location Phone
- (817) 281-0402
- Location Fax
- (817) 281-6364
- Mailing Address
- 1709 PRECINCT LINE RD HURST, TX 76054
- Mailing Phone
- (817) 281-0402
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-14-2013
- Last Update Date
- 12-18-2013
- Code Navigator
A primary care provider (PCP) like Baze Medical Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
- Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0724811
- Facility Type
- Physician Office
- Certificate Effective Date
- August 22, 2024
- Certificate Expiration Date
- August 21, 2026
- Laboratory Director
- CHRISTY A. BAZE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Baze Medical Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 9 | 1 | 3 | 5 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 18 | 1 | 6 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 8 + 1 + 6 + 5 + 1 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1770913592 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831162585 | TERRY ROACH DO Individual | Family Medicine | 1709 PRECINCT LINE RD HURST, TX 76054 (817) 281-0402 |
| 1912956665 | JAMES M MERRILL D.O. Individual | Family Medicine | 1709 PRECINCT LINE RD HURST, TX 76054 (817) 281-0402 |
| 1659684892 | CHRISTY BAZE D.O. Individual | Family Medicine | 1709 PRECINCT LINE RD HURST, TX 76054 (817) 281-0402 |
| 1386738540 | J. MICHAEL MERRILL, D.O., P.A. Organization | Family Medicine | 1709 PRECINCT LINE RD HURST, TX 76054 (817) 281-0402 |
| 1659765592 | MRS. ANNIE M BOTCHWAY FNP Individual | Nurse Practitioner (Family) | 1709 PRECINCT LINE RD HURST, TX 76054 (817) 281-0402 |
| 1730162645 | DR. CHARMAINE R LOBO MD Individual | Family Medicine | 1709 PRECINCT LINE RD HURST, TX 76054 (817) 281-0402 |
| 1700436292 | IRENE JIDEOFOR FNP Individual | Nurse Practitioner (Family) | 1709 PRECINCT LINE RD HURST, TX 76054 (817) 281-0402 |
| 1285190470 | CANDACE DAY APRN, FNP-C Individual | Nurse Practitioner (Family) | 1709 PRECINCT LINE RD HURST, TX 76054 (817) 281-0402 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770913592, enumerated in the NPI registry as an "organization" on November 14, 2013
The provider is located at 1709 Precinct Line Rd Hurst, Tx 76054 and the phone number is (817) 281-0402
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: WellPoint. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D0724811 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 14, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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