Blue Seas Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS9508 Issued in FL

Legal business name

BLUE SEAS MEDICAL LLC

Practice address

5850 SE Community Dr
Stuart, FL 34997-6420

Phone

(772) 247-7389

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Diana Chiong, DONPI 1902884612

Title

Owner

Phone

(772) 247-7389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Diana Marie Chiong, DO

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1902884612
  Medicare reassignment NPD Authorized official
• Fernando Petry, D.O.

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1932187747
  Medicare reassignment NPD

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1619462272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2998",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349952998",
            "telephone_number": "772-247-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 SE COMMUNITY DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976420",
            "telephone_number": "772-247-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SEAS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "CHIONG",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-247-7389",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy C Blazer
• Robert Bloom
• Kendall Blake Bloomer, DC
• Christine D. Blount, LCSW
• Elizabeth P Blowers, MD
• Kiara Blue
• Bluesky Telepsych LLC
• Kaitlyn Joy Blum, MS CCC-SLP
• Brian Blumenauer, MD
• Amy Blumstein

• Internal Medicine Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.