Blue Wave Medical Associates, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BLUE WAVE MEDICAL ASSOCIATES, LLC

Practice address

1105 S Fort Harrison Ave
Clearwater, FL 33756-3907

Phone

(727) 303-3117

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Audrey Z Paul, MDNPI 1699789255

Title

Owner

Phone

(917) 576-7624

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Zelicof Paul, MD PHD

  • Pediatrics Physician
  • Clearwater, FL
  • NPI 1699789255

  Family Medicine

  NPD (past) Authorized official
• Sarah Bowermaster

  • Pediatric Nurse Practitioner
  • Boca Raton, FL
  • NPI 1003341595
  NPD (past)
• Richard A Wolf II, MSN, FNP-C

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1336645464
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1760167233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563907",
            "telephone_number": "727-303-3117",
            "fax_number": "727-335-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563907",
            "telephone_number": "727-303-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WAVE MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-576-7624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Compass Behavioral Services
• Blue Ocean Clinical Research, LLC
• Blue Point Health
• Blue Point Health PLLC
• Blue Wave Behavioral Serivces
• Peter William Blumencranz, MD
• Bismark Baning Boakye, PHARMD
• Amy Bockelkamp, APRN
• Kelly Bockholt
• Body Right Inc

• Pediatrics Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.