Bay Cardiovascular Surgery PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

BAY CARDIOVASCULAR SURGERY PA

Doing business as

Bay Vascular Surgery

Practice address

819 Ayers St
Corpus Christi, TX 78404-1914

Phone

(361) 761-8610

Fax

(361) 761-8611

NPI assigned

Sep 27, 2016

Last updated

Aug 29, 2022By 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

Lofton Nathaniel Misick, M.D.NPI 1942257746

Title

Owner

Phone

(361) 761-8610

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Bay Vascular Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Lofton N Misick, MD

  • Vascular Surgery Physician
  • Corpus Christi, TX
  • NPI 1942257746
  Medicare reassignment NPD Authorized official
• Carl H Aeby, DPM

  • Foot & Ankle Surgery Podiatrist
  • Corpus Christi, TX
  • NPI 1417952938
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1831648203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ID#1177",
            "address_2": "PO BOX 659506",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782659506",
            "telephone_number": "361-761-8610",
            "fax_number": "361-761-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 AYERS ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041914",
            "telephone_number": "361-761-8610",
            "fax_number": "361-761-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CARDIOVASCULAR SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "MISICK",
        "authorized_official_first_name": "LOFTON",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-761-8610",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "Q7428",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367177801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vascular Surgery Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.