Active NPI
West Bay Surgical Associates Inc.
- Surgery Physician
- Warwick, RI
National Provider Identifier
1174522304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- WEST BAY SURGICAL ASSOCIATES INC.
- Practice address
- 390 Toll Gate Rd
Ste.200
Warwick, RI 02886-4326 - Phone
- (401) 739-8010
- Fax
- (401) 739-6087
- NPI assigned
- Jul 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Candace L. Dyer, M.D.
- Title
- President
- Phone
- (401) 739-8010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RI | Primary |
Addresses
Primary practice location
390 Toll Gate Rd
Ste.200
Warwick, RI 02886-4326
Mailing address
390 Toll Gate Rd
Ste.200
Warwick, RI 02886-4326
Phone (401) 739-8010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9003972 | Medicaid | PR |
National Provider Directory
National Provider DirectoryLocations
390 Toll Gate Rd
Ste 200
Warwick, RI 02886
Phone (401) 691-3300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Warwick, RI
- NPI 1225037435
-
- Surgery Physician
- Warwick, RI
- NPI 1265431357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1174522304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD",
"address_2": "STE.200",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864326",
"telephone_number": "401-739-8010",
"fax_number": "401-739-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD",
"address_2": "STE.200",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864326",
"telephone_number": "401-739-8010",
"fax_number": "401-739-6087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST BAY SURGICAL ASSOCIATES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DYER",
"authorized_official_first_name": "CANDACE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-739-8010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "RI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9003972",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.