Blue Star Imaging Sa, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BLUE STAR IMAGING SA, LLC

Practice address

112 Herff Rd
Boerne, TX 78006-2747

Phone

(210) 961-4282

Fax

(210) 961-4283

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Melissa Beebe

Title

Executive Assistant to Coo

Phone

(972) 497-4156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Jeremy Whang, MD

  • Diagnostic Radiology Physician
  • Frisco, TX
  • NPI 1285992305
  NPD
• Chien I. Yang, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
  • NPI 1609860279
  NPD
• Matthew G Strange, M.D.

  • Diagnostic Radiology Physician
  • Naples, FL
  • NPI 1174516165
  NPD

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1871101899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COWBOYS WAY STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341995",
            "telephone_number": "972-497-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HERFF RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062747",
            "telephone_number": "210-961-4282",
            "fax_number": "210-961-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR IMAGING SA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT TO COO",
        "authorized_official_telephone_number": "972-497-4156"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BHS Physicians Network, Inc
• Conan James Bicknell, RBT
• Patsy Dawn Bledsoe, AUD
• Bloom Physical Therapy & Wellness PLLC
• Blue Agave Functional Medicine Boerne PLLC
• Bluebonnet Pediatric Therapy LLC
• Blueprint Therapy Services
• Boerne Anesthesia Associates, PLLC
• Boerne Caregiving Company LLC
• Boerne Dental Center

• Radiology Clinic/Center in Boerne, TX
• Providers in Boerne, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.