Richard Blanchar MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0042534 Issued in FL

Legal business name

RICHARD BLANCHAR MD PA

Doing business as

Bayview General Medicine

Practice address

4401 W Tradewinds Ave
3Rd Floor
Lauderdale by the Sea, FL 33308-4463

Phone

(954) 776-6992

Fax

(954) 776-6969

NPI assigned

Jul 15, 2008

Last updated

Jul 24, 2008By 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

Ms. Stacy A Mastrosimone

Title

Office Manager

Phone

(954) 776-6992

Specialties & licenses 1

Addresses

Other names 1

• BAYVIEW GENERAL MEDICINE Doing business as

Locations

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1720242118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W TRADEWINDS AVE",
            "address_2": "3RD FLOOR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084463",
            "telephone_number": "954-776-6992",
            "fax_number": "954-776-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W TRADEWINDS AVE",
            "address_2": "3RD FLOOR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333084463",
            "telephone_number": "954-776-6992",
            "fax_number": "954-776-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD BLANCHAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MASTROSIMONE",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-776-6992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0042534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYVIEW GENERAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kay Paparella-Spears
• Cheryl A Pfeffer, LMHC
• Physical Therapy Plus by the Sea LLC
• Carolina Pontes, COTA/L
• Reynald Pouliot, M.D.
• Luis G Rodas, PA
• German Alberto Rosales, DDS
• Vishal Samuel, DPT
• Tarvehale Saunders, RN, LMT
• See by the Sea Optical

• Family Medicine Physician in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.