Active NPI
Roy Andrew Taylor, M.D.
- Vascular Surgery Physician
- Bellingham, WA
National Provider Identifier
1720038086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD00016302
- Practice address
- 3127 Brandywine Way
Bellingham, WA 98226-3878 - Phone
- (360) 739-0948
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD00016302 | WA | Primary |
Addresses
Primary practice location
3127 Brandywine Way
Bellingham, WA 98226-3878
Mailing address
3127 Brandywine Way
Bellingham, WA 98226-3878
Phone (360) 739-0948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8464083 | Medicaid | WA |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical & Endovascular Specialist | Past | Accepting new patients |
Interoperability endpoints
- rtaylor23885@direct.peacehealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Bellingham, WA
- NPI 1316974603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1720038086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3127 BRANDYWINE WAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982263878",
"telephone_number": "360-739-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3127 BRANDYWINE WAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982263878",
"telephone_number": "360-739-0948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ROY",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WA",
"license": "MD00016302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8464083",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.