Peace Arch Vascular PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

PEACE ARCH VASCULAR PLLC

Practice address

1344 King St Ste 104
Bellingham, WA 98229-6215

Phone

(360) 594-4002

Fax

(360) 594-4006

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rajesh Bhola, MDNPI 1356365001

Title

President

Phone

(360) 594-4002

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajesh Bhola, MD

  • Cardiovascular Disease Physician
  • Bellingham, WA
  • NPI 1356365001
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1225899297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 KING ST STE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296215",
            "telephone_number": "360-594-4002",
            "fax_number": "360-594-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 KING ST STE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296215",
            "telephone_number": "360-594-4002",
            "fax_number": "360-594-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE ARCH VASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "BHOLA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-594-4002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Meyers Pavlik, FNP
• Sarah Butsch Paxson, DPT
• Jamie Paxton, LMHC
• Amerigo Marlen Paz
• Peace Arch Cardiology, PC
• Peacehealth (St Joseph Medical Center)
• Peacehealth (PeaceHealth Medical Group)
• Peacehealth (PeaceHealth Medical Group)
• Peacehealth (St Joseph Medical Center)
• Peacehealth (St Joseph Medical Center)

• Vascular Surgery Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Vascular Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.