Delaware Bay Surgical Service, P.a.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

C2-0007933 Issued in DE

Legal business name

DELAWARE BAY SURGICAL SERVICE, P.A.

Practice address

33664 Bayview Medical Drive
Unit 2
Lewes, DE 19958

Phone

(302) 644-4954

Fax

(302) 645-5481

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mayer M Katz, M.D.NPI 1255410825

Title

Owner

Phone

(302) 645-5650

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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.

• Mayer M Katz, MD

  • Vascular Surgery Physician
  • Lewes, DE
  • NPI 1255410825
  Authorized official Same address or phone

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1831248509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33664 BAYVIEW MEDICAL DRIVE",
            "address_2": "UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-644-4954",
            "fax_number": "302-645-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33664 BAYVIEW MEDICAL DRIVE",
            "address_2": "UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-644-4954",
            "fax_number": "302-645-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE BAY SURGICAL SERVICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "MAYER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-645-5650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "DE",
            "license": "C2-0007933",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000358",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000236002",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Anne Degnon, MD
• Kelli J Deiaco, PH.D.
• Arvin Del Castillo, PT
• Maria Pia Del Corral, MD
• Delaware Anesthesia Associates, PA
• Delaware CVS Pharmacy LLC (CVS Pharmacy # 10296)
• Delaware Health Corporation (Harbor Healthcare & Rehabiliation Center)
• Delaware Hyperbarics LLC
• Delaware Neurology Associates,PA
• Delaware Psychological Services LLC

• Vascular Surgery Physician in Lewes, DE
• Providers in Lewes, DE by specialty
• Vascular Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.