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BLUE SEA MEDICAL CORPORATION
NPI 1508113309
Internal Medicine in Jacksonville, AR

Active since August 10, 2012
1401 BRADEN ST, JACKSONVILLE, AR 72076(501) 985-2537 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Blue Sea Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE SEA MEDICAL CORPORATION (NPI 1508113309) is a healthcare organization registered as an internal medicine in Jacksonville, Arkansas and active in the NPI registry since August 2012. The organization lists Syed Ayub Mazher, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1508113309
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE SEA MEDICAL CORPORATION
Location Address1401 BRADEN STJacksonville, AR 72076-3720
Mailing Address112 Sezanne CtLittle Rock, AR 72223-5095 · (501) 256-7520
Phone(501) 985-2537
Organization SubpartNo
Authorized OfficialSyed Ayub MazherMedical Director · (501) 256-7520
Enumeration DateAugust 10, 2012
Last NPPES UpdateJuly 16, 2014
✔ NPI 1508113309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · E-3012
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1401 BRADEN ST, Jacksonville, AR 72076
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Other Identifiers 1

Medicare UPING32526AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL E. VALENTIN-STONE MD
Internal Medicine
1401 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-2537
ASHLEY RENEE POPPY APRN, FNP
Nurse Practitioner (Family)
1401 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-2537
DR. ANN D. LAYTON MD
Internal Medicine
1401 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-2537

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Sea Medical Corporation's NPI number?

The NPI number for Blue Sea Medical Corporation is 1508113309. It was assigned to this organization in the NPPES registry on August 10, 2012.

Where is Blue Sea Medical Corporation located?

Blue Sea Medical Corporation is located at 1401 Braden St, Jacksonville, AR 72076. The listed phone number is (501) 985-2537.

What is Blue Sea Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Blue Sea Medical Corporation was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.