Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bayside Family & Sports Medicine PC

Organization Family Medicine Physician · NPI 1629251129

Bayside Family & Sports Medicine PC provides Family Medicine Physician services in Petoskey, Michigan. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2325 Summit Park Dr Ste 3
Petoskey, MI 49770-8774 Not confirmed with CMS for 14 years — call before visiting
Phone: (231) 439-5100
Fax: (231) 439-9292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629251129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Decker — Owner/President · (231) 439-5100
Other names Bayside Family & Sports Medicine Pc
NPI enumeratedDecember 7, 2007
Last updated in NPPESApril 10, 2012
Mailing address2325 Summit Park Dr, Suite 3, Petoskey, MI 49770-8774

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