BLUE RIDGE WOMEN'S CARE PA (NPI# 1104912419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104912419 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE WOMEN'S CARE PA |
| Practice Address |
112 Surgical Blvd Suite B Seneca SC 29672-6654 |
| Mailing Address |
112 Surgical Blvd Suite B Seneca SC 29672 |
| Practice Telephone | 8649851799 |
| Practice Fax Number | 8648884108 |
| Mailing Telephone | 8649851799 |
| Mailing Fax Number | 8648884108 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-11-13 |
| Authorized Official Name | CAROL W SHULER (PRESIDENT) |
| Authorized Official Telephone | 8649851799 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
12365 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
112 SURGICAL BLVD SUITE B |
| City | SENECA |
| State | SC |
| Zip Code | 29672-6654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033183124 | Osceola P. Gilbert IIi | Specialist | 112 Surgical Blvd, Suite A, Seneca, SC 29672-6654 | 2006-02-15 |
| 1144886086 | Ashley Stevenson | Nurse Practitioner | 112 Surgical Blvd, Seneca, SC 29672-6654 | 2019-05-16 |
| 1285103945 | Angela Newton | Nurse Practitioner | 112 Surgical Blvd, Seneca, SC 29672-6654 | 2018-11-24 |
| 1952375057 | Oconee Surgery, P.a. | Family Medicine | 112 Surgical Blvd, Suite A, Seneca, SC 29672-6654 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
| 1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
| 1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
| 1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
| 1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
| 1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
| 1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
| 1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
| 1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
| 1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
| Find all providers in zip 29672 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265633424 | Jennifer Rae Beil | Obstetrics & Gynecology | 103 Carter Park Dr, Suite A, Seneca, SC 29678-1152 | 2007-05-29 |
| 1932153285 | Carol Wannamaker Shuler | Obstetrics & Gynecology | 103 Carter Park Dr, Suite A, Seneca, SC 29678-1152 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598230 | Elite Gynecology | Obstetrics & Gynecology | 163 Lake Murray Ter, Lexington, SC 29072-9103 | 2019-06-21 |
| 1295392132 | Venus Gynecology, LLC | Obstetrics & Gynecology | 8203 Nigels Dr Ste 203, Myrtle Beach, SC 29572-4179 | 2019-05-28 |
| 1801285036 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 8950 University Blvd, Suite 150, North Charleston, SC 29406 | 2015-01-12 |
| 1447656517 | Donald Richard Hanscom | Obstetrics & Gynecology | 20 Spring Island Dr, Okatie, SC 29909-4006 | 2014-11-17 |
| 1851633028 | Giles Martin Schanen I | Obstetrics & Gynecology | 205 Glen Abbey Way, Greer, SC 29650-3289 | 2013-03-26 |
| 1225373830 | Alan F Korhammer | Obstetrics & Gynecology | 24 Oak Island Rd, Saint Helena Island, SC 29920-3808 | 2012-12-07 |
| 1326316803 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 90 Summit Centre Dr, Columbia, SC 29229-6926 | 2011-12-12 |
| 1528290251 | Baptist Easley Hospital | Obstetrics & Gynecology | 112 John St Ste 103, Easley, SC 29640-1405 | 2009-08-13 |
| 1386880672 | Juliet Chhay Bishop | Obstetrics & Gynecology | 2 Medical Park Rd Ll9/10, Columbia, SC 29203-6839 | 2008-12-17 |
| 1073776118 | Eduardo Goquiolay Arellano | Obstetrics & Gynecology | 9 Bayley Rd, Bluffton, SC 29910-4928 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
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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.