Organization Active NPI

Antonio Vasquez, MD PC

  • Vascular Surgery Physician
  • Bay City, MI
National Provider Identifier
1700060464
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
AV034932 Issued in MI
Legal business name
ANTONIO VASQUEZ, MD PC
Practice address
2010 15TH St
Bay City, MI 48708-7606
Phone
(989) 893-8361
Fax
(989) 893-3528
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Noreen Hatton
Title
Office Manager
Phone
(989) 893-8361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X AV034932 MI Primary

Addresses

Primary practice location

2010 15TH St
Bay City, MI 48708-7606

Mailing address

2010 15TH St
Bay City, MI 48708-7606
Phone (989) 893-8361

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1700060464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 15TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087606",
            "telephone_number": "989-893-8361",
            "fax_number": "989-893-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 15TH ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087606",
            "telephone_number": "989-893-8361",
            "fax_number": "989-893-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO VASQUEZ, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "HATTON",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-893-8361"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "AV034932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.