Bluezone Healthcare, LLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

D0050622 Issued in MD

Legal business name

BLUEZONE HEALTHCARE, LLC

Practice address

405 N Paca St
Baltimore, MD 21201

Phone

(410) 779-9609

Fax

(443) 552-4758

NPI assigned

Apr 27, 2017

Last updated

Apr 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zacharias Vasilios Mavrophilipos, MD

Title

Member

Phone

(410) 779-9609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1184159196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011815",
            "telephone_number": "410-779-9609",
            "fax_number": "443-552-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-779-9609",
            "fax_number": "443-552-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEZONE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "MAVROPHILIPOS",
        "authorized_official_first_name": "ZACHARIAS",
        "authorized_official_middle_name": "VASILIOS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "410-779-9609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": "MD",
            "license": "D0050622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Giorgio Bluestein, PSYCHOLOGIST
• Steven Bluestein, C.R.N.A.
• Julia Bluestone, CNM
• Bluez Psychological Group, LLC
• Grai P Bluez, PHD
• Alexander Blum
• Ari Michael Blum, LCSW-C
• David Steven Blum, O.D.
• Eric Blum, M.D.
• Jacob Blum, MD

• Prevention Professional in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Prevention Professional in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.