Bay Vascular Surgery, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

D0054318 Issued in MD

Legal business name

BAY VASCULAR SURGERY, LLC

Practice address

3623 Falls Rd
Baltimore, MD 21211-1815

Phone

(410) 298-8223

Fax

(410) 298-8225

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Nancy Clark, MD

Title

Owner

Phone

(410) 298-8223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1285815530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111815",
            "telephone_number": "410-298-8223",
            "fax_number": "410-298-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111815",
            "telephone_number": "410-298-8223",
            "fax_number": "410-298-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY VASCULAR SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-298-8223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0054318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Michelle Baxter, RN
• Roger David Baxter, CRNA
• Bay Health Care Inc
• Bay Life Services Corporation
• Bay Region Psychiatric Services, LLC
• Bay View Homecare Inc
• Christa Gale Bay, CPNP
• Mihee Bay
• Colleen Elizabeth Bayer, DPT
• Caleb A Bayewu

• Vascular Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Vascular Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.