Blue Star Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BLUE STAR SURGERY CENTER LLC

Practice address

2120 N Macarthur Blvd Ste 200
Irving, TX 75061-2205

Phone

(972) 438-5232

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Robert Bayless, MD

Title

Manager

Phone

(214) 287-3888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1861869869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N MACARTHUR BLVD STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612205",
            "telephone_number": "972-438-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MACARTHUR BLVD STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612205",
            "telephone_number": "972-438-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "BAYLESS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-287-3888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Star Biotek,LLC
• Blue Star Imaging
• Blue Star Imaging, LP
• Blue Star Rehabilitation, LLC
• Blue Stone JV LLP
• Bluebonnet Osr Associates
• Blueprint to Healthcare
• Boardwalk Providers Group LLC
• Corrie Rose Bober, MS, ATC, CES

• Ambulatory Surgical Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.