Bluestar Medical, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUESTAR MEDICAL, P.A.

Practice address

4101 NW 4TH St Ste 211
Plantation, FL 33317-2840

Phone

(954) 440-0072

Fax

(954) 765-6793

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Vicky Jasmine Marsh, DO

Title

Physician

Phone

(954) 440-0072

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1720533680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST STE 211",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172840",
            "telephone_number": "954-440-0072",
            "fax_number": "954-765-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST STE 211",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172840",
            "telephone_number": "954-440-0072",
            "fax_number": "954-765-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTAR MEDICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "JASMINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-440-0072",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Wolff Bloch, B.S.,M.A.
• Gerald Allen Bloch, M.A.
• Bloom Health Connect LLC
• Krista A. Bloom, L.C.S.W
• Blooming in Care LLC
• David A Blum, M.D.
• Cha'Lee Blythe
• Amy C Bobotis, PA-C
• Nicole Bobrowski, CRNA
• Kateryna Bodnar, MD

• Family Medicine Physician in Plantation, FL
• Providers in Plantation, 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 Sep 26, 2018; 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.