Active NPI
Charles F Bay, PA
- Physician Assistant
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4503 Main St
Shallotte, NC 28470-4447 - Phone
- (910) 755-5253
- NPI assigned
- Jul 7, 2006
- Last updated
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
4503 Main St
Shallotte, NC 28470-4447
Mailing address
200 Barr Harbor Dr Four Tower Bridge,
Suite 200
West Conshohocken, PA 19428-6637
Phone (848) 240-2812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Health Solutions PLLC | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Past | Accepting new patients | |
| Sacramento Cardiovascular Surgeons Medical Group Inc | Physician Assistant | Past | Accepting new patients |
Locations
2001 Butterfield Rd
Ste 330
Downers Grove, IL 60515
232 Crossroads Blvd
Cary, NC 27518
Phone (919) 859-1276
4503 Main St
Shallotte, NC 28470
Phone (910) 721-3157
6752 Rock Spring Rd
Ste 200
Wilmington, NC 28405
Phone (910) 762-1070
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Cary, NC
- NPI 1306227236
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sacramento, CA
- NPI 1841240454
Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1669404059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BARR HARBOR DR FOUR TOWER BRIDGE,",
"address_2": "SUITE 200",
"city": "WEST CONSHOHOCKEN",
"state": "PA",
"postal_code": "194286637",
"telephone_number": "848-240-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4503 MAIN ST",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284704447",
"telephone_number": "910-755-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAY",
"first_name": "CHARLES",
"middle_name": "F",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.