BLUE STAR IMAGING, LP (NPI# 1770543365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770543365 |
| Entity Type | Organization |
| Organization Name | BLUE STAR IMAGING, LP |
| Practice Address |
1 Cowboys Pkwy Irving TX 75063-4924 |
| Mailing Address |
Po Box 848478 Dallas TX 75284-8478 |
| Practice Telephone | 4697571000 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | PHILIP MALONE (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4053218125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PENDING | 05 |
| Street Address |
1 COWBOYS PKWY |
| City | IRVING |
| State | TX |
| Zip Code | 75063-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396711545 | Jim D Maurer | Specialist/Technologist | 1 Cowboys Pkwy, Irving, TX 75063-4924 | 2006-02-27 |
| 1811357114 | Blue Stone Jv LLP | Physiological Laboratory | 1 Cowboys Pkwy, Irving, TX 75063-4924 | 2016-02-29 |
| 1760881643 | Bobby Feeback | Specialist/Technologist | 1 Cowboys Pkwy, Irving, TX 75063-4924 | 2014-08-18 |
| 1710018023 | Blue Star Imaging | Clinic/Center | 1 Cowboys Pkwy, Irving, TX 75063-4924 | 2007-03-08 |
| 1215903232 | Jakie Britt Brown | Specialist/Technologist | 1 Cowboys Pkwy, Dallas Cowboys, Irving, TX 75063-4924 | 2006-02-28 |
| 1033185012 | Gregory Todd Gaither | Specialist/Technologist | 1 Cowboys Pkwy, Irving, TX 75063-4924 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083959605 | James Newton Camak Jr. | Radiology | 3801 Acapulco Ct, Irving, TX 75062-6500 | 2012-12-07 |
| 1003161530 | Thomas Joe | Radiology | 3909 Acapulco St, Irving, TX 75062-6513 | 2012-07-20 |
| 1770893828 | Donald Leigh Oberlin | Radiology | 4743 Byron Circle, Irving, TX 75038 | 2010-10-07 |
| 1750456208 | Helen T Ramey | Radiology | 1209 Mosswood Ln, Irving, TX 75061-4525 | 2006-11-21 |
| 1356442040 | Jose Rivero | Radiology | 8411 Sterling St, Suite 101, Irving, TX 75063-1901 | 2006-09-26 |
| 1063439883 | Us Radiology Partners of Texas Inc | Radiology | 8411 Sterling Street, Irving, TX 33316 | 2006-07-16 |
| 1902830409 | Susan M Straten | Radiology | 2021 N Macarthur Blvd Ste 115, Irving, TX 75061-2210 | 2006-07-10 |
| 1184683757 | Craig B Mcardle | Radiology | 102 Decker Ct, Suite 205, Irving, TX 75062-2740 | 2006-03-21 |
| 1124094255 | Leonard Gross | Radiology | 1110 Cottonwood Lane, Suite 100, Irving, TX 75038 | 2006-02-28 |
| 1609848365 | Howard L Stoll | Radiology | 845 Main Rd, Irving, NY 14081-9706 | 2006-02-06 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.