Bayside Pathology Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MD 23314 Issued in WA

Legal business name

BAYSIDE PATHOLOGY INC

Practice address

1500 N State St
Bellingham, WA 98225-4551

Phone

(360) 734-9033

Fax

(360) 734-0467

NPI assigned

Mar 24, 2006

Last updated

Aug 22, 2020By 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. Gary Alan Goldfogel, M.D.NPI 1962462713

Title

President

Phone

(360) 734-9033

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Gary Alan Goldfogel, M.D.

  • Forensic Pathology Physician
  • Bellingham, WA
  • NPI 1962462713
  Authorized official Same address or phone

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740240597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254551",
            "telephone_number": "360-734-9033",
            "fax_number": "360-734-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254551",
            "telephone_number": "360-734-9033",
            "fax_number": "360-734-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDFOGEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-734-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MD 23314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "8916146",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7063092",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Bayliss
• Hannah Baylon
• Beccy Bayne, L.M.P.
• John Bays, MD
• Bayside Dermatology
• Bayside Therapy Associates
• Bayside Vein & Laser Center, PLLC
• Melissa Bazante-Guzman
• Martins Efosa Bazuaye, MD
• Bcwa Health SVCS

• Clinical Medical Laboratory in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.