Blue Star Healing Arts, PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MD15235 Issued in OR

Legal business name

BLUE STAR HEALING ARTS, PC

Practice address

714 NW 5TH St
Grants Pass, OR 97526-1529

Phone

(541) 244-1511

Fax

(541) 244-1512

NPI assigned

Dec 1, 2010

Last updated

Dec 12, 2013By 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

Mona Mynnel Tara, M.D.NPI 1770572380

Title

Owner

Phone

(541) 244-2292

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mona Mynnel Tara, MD

  • Internal Medicine Physician
  • Grants Pass, OR
  • NPI 1770572380
  Authorized official Same address or phone
• Laura Felice Robin, D.O.

  • Public Health & General Preventive Medicine Physician
  • Ashland, OR
  • NPI 1609955293
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1578865275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 NW 5TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261529",
            "telephone_number": "541-244-1511",
            "fax_number": "541-244-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NW 5TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261529",
            "telephone_number": "541-244-1511",
            "fax_number": "541-244-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR HEALING ARTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "TARA",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "MYNNEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-244-2292",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "MD15235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blissful Being Wellness, LLC
• Blomstra Behavioral Health LLC
• Julia Ann Bloom, LMT
• Kendra McQuerry Bloomfield, MD
• A Dale Blossom, RPH
• Bluehare LLC
• Anna Boak
• Jeanna Bobo
• Sheila Lynn Bodle
• Logan Boehmer, AA

• Health Service Clinic/Center in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.