Active NPI
Bayside Vein & Laser Center, PLLC
- Vascular Surgery Physician
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- 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
- Last updated
- Jul 22, 2021
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 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
National Provider Directory
National Provider DirectoryLocations
4540 Cordata Pkwy
Ste 201
Bellingham, WA 98226
Phone (360) 676-1225
Practitioners & affiliated clinicians
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.
-
- Vascular Surgery Physician
- Bellingham, WA
- NPI 1720038086
NPI Registry JSON
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": [],
"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 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.