Blue Sky Mining Company LLC

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

DO 4976 Issued in FL

Legal business name

BLUE SKY MINING COMPANY LLC

Practice address

811 Ridgewood Ave
Venice, FL 34285-7009

Phone

(941) 480-0300

Fax

(941) 485-8090

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Karen Johnson

Title

Owner

Phone

(941) 716-2786

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1164795456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 RIDGEWOOD AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857009",
            "telephone_number": "941-480-0300",
            "fax_number": "941-485-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RIDGEWOOD AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857009",
            "telephone_number": "941-480-0300",
            "fax_number": "941-485-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY MINING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-716-2786"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": "FL",
            "license": "DO 4976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rylee Bloom, PA-C
• Jacy Bloom, D.C. M.S.
• Blue Horizon Anesthesia
• Blue Horizon Anesthesia
• Blue Sky Eyewear LLC
• Frank Blum
• Brieanna M Blumenstein, ARNP
• Mary Michelle Bogen, DPM
• Socheatra P Bokach, P.A.C
• Gary Eugene Bolen, DC

• Technician/Technologist in Venice, FL
• Providers in Venice, FL by specialty
• Technician/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.