Provider Demographics
NPI:1184739476
Name:BAIDEY, ALLEN A (MD)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:A
Last Name:BAIDEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 BEE RIDGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6301
Mailing Address - Country:US
Mailing Address - Phone:941-552-3487
Mailing Address - Fax:941-552-3486
Practice Address - Street 1:2450 BEE RIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6301
Practice Address - Country:US
Practice Address - Phone:941-552-3487
Practice Address - Fax:941-552-3486
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87545208VP0014X, 174400000X, 2084P0800X, 2084P2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No174400000XOther Service ProvidersSpecialist
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME87545OtherMEDICAL LICENSE
FLU0863Medicare ID - Type Unspecified
FLH87005Medicare UPIN