Organization Active NPI

Healthstar Medical Services PLLC

  • Internal Medicine Physician
  • Bonita Springs, FL
National Provider Identifier
1033299748
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91484 Issued in FL
Legal business name
HEALTHSTAR MEDICAL SERVICES PLLC
Practice address
10331 Autumn BRZ Dr
#202
Bonita Springs, FL 34135-7251
Phone
(239) 961-5906
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Bonnie M Rashid, MD
Title
Owner
Phone
(239) 961-5906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME91484 FL Primary

Addresses

Primary practice location

10331 Autumn BRZ Dr
#202
Bonita Springs, FL 34135-7251

Mailing address

PO Box 7518
Fort Myers, FL 33911-7518
Phone (239) 931-7262

Other identifiers 2

IdentifierTypeStateIssuer
DP5266OtherFLMEDICARE RAILROAD
271498100MedicaidFL

National Provider Directory

National Provider Directory

Locations

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1033299748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7518",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339117518",
            "telephone_number": "239-931-7262",
            "fax_number": "239-931-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10331 AUTUMN BRZ DR",
            "address_2": "#202",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357251",
            "telephone_number": "239-961-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAR MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-961-5906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DP5266",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271498100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.