Bayside Vein & Laser Center, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

BAYSIDE VEIN & LASER CENTER, PLLC

Practice address

3127 Brandywine Way
Bellingham, WA 98226-3878

Phone

(360) 739-0948

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Roy Andrew Taylor, MD

Title

Member

Phone

(360) 739-0948

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1982653788",
    "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": {
        "organization_name": "BAYSIDE VEIN & LASER CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-739-0948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7133457",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Bays, MD
• Bayside Autism Therapies, LLC
• Bayside Dermatology
• Bayside Pathology Inc
• Bayside Therapy Associates
• Melissa Bazante-Guzman
• Martins Efosa Bazuaye, MD
• Bcwa Health SVCS
• Breanna Beach Duffy
• Kent Beach

• All providers in Bellingham, WA
• Vascular Surgery Physician in Washington

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

Verify at the official NPI Registry.