Healthcare Provider Details

I. General information

NPI: 1033359401
Provider Name (Legal Business Name): MATTHEW S. BAY P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E MILESTONE DR
APPLETON WI
54913-6701
US

IV. Provider business mailing address

2000 E MILESTONE DR FOX VALLEY SURGICAL ASSOCIATES
APPLETON WI
54913-6701
US

V. Phone/Fax

Practice location:
  • Phone: 920-731-8131
  • Fax: 920-832-0444
Mailing address:
  • Phone: 920-731-8131
  • Fax: 920-832-0444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2387-23
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: