BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (NPI# 1306936570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306936570 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. |
| Other Organization Name | BLUE RIDGE HEALTHCARE UROLOGY |
| Practice Address |
560 Malcolm Blvd Suite F Rutherford College NC 28671 |
| Practice Telephone | 8288798240 |
| Practice Fax Number | 8288798381 |
| Mailing Telephone | 8288798240 |
| Mailing Fax Number | 8288798381 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | ROBERT FRITTS (SVP/CFO) |
| Authorized Official Telephone | 8285805545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Blue Ridge Healthcare Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396017752 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 | 2012-02-01 |
| 1407188600 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 117-b Foothills Dr, Morganton, NC 28655 | 2010-02-12 |
| 1548497209 | Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | 20 S Medical Ct, Marion, NC 28752-4972 | 2009-06-19 |
| 1083854251 | Blue Ridge Healthcare Medical Group, Inc. | Allergy & Immunology | 352-b East Parker Road, Morganton, NC 28655 | 2009-03-02 |
| 1275725996 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 111 Foothills Dr Ste B, Morganton, NC 28655-5123 | 2007-08-16 |
| 1639244478 | Blue Ridge Healthcare Medical Group, Inc. | Radiology | 2201 S. Sterling Street, Morganton, NC 28655 | 2006-11-21 |
| 1972683126 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 2209 S. Sterling Street, Suite 300, Morganton, NC 28655 | 2006-10-16 |
| 1780772715 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 730 Malcolm Blvd., Suite 230, Rutherford College, NC 28671 | 2006-10-11 |
| 1891884748 | Blue Ridge Healthcare Medical Group, Inc. | Psychiatry & Neurology | 2201 S. Sterling St., Morganton, NC 28655 | 2006-10-11 |
| 1235227257 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 1901 Connelly Springs Road, Lenoir, NC 28645 | 2006-10-11 |
| Street Address |
560 MALCOLM BLVD SUITE F |
| City | RUTHERFORD COLLEGE |
| State | NC |
| Zip Code | 28671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194832758 | Sarvesh Rao Sathiraju | Internal Medicine | 560 Malcolm Blvd, Rutherford College, NC 28671-0848 | 2006-08-23 |
| 1225638109 | Dalsania & Associates, Pllc | Dentist | 560 Malcolm Blvd, Unit A, Rutherford College, NC 28671 | 2020-10-29 |
| 1821325309 | Samir Dalsania | Dentist | 560 Malcolm Blvd, Unit A, Rutherford College, NC 28671 | 2009-11-04 |
| 1154571081 | Blue Ridge Healthcare Medical Group, Inc. | Surgery | 560 Malcolm Blvd, Rutherford College, NC 28671-0000 | 2008-09-29 |
| 1699943415 | John H Sherrill | Clinical Medical Laboratory | 560 Malcolm Blvd, Rutherford College, NC 28671-0815 | 2008-02-14 |
| 1114082161 | Robert Angel Stevenson | Dentist | 560 Malcolm Blvd, Western Piedmont Clinic, Rutherford College, NC 28671 | 2006-12-27 |
| 1720175367 | John Holloway Sherrill | Internal Medicine | 560 Malcolm Blvd, Rutherford College, NC 28671 | 2006-10-06 |
| 1437259868 | Michael Skolochenko | Family Medicine | 560 Malcolm Blvd, Rutherford College, NC 28671 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432160 | Emily Bordeleau Cannon | Nutritionist | 721-d Malcom Blvd, Rutherford College, NC 28671 | 2020-09-16 |
| 1730557091 | Kelly Hartman | Pharmacist | 722 Malcolm Blvd, Rutherford College, NC 28671 | 2015-09-03 |
| 1053720730 | Micah Loren Wilson | Nurse Practitioner | 111 Hilltop Street, Rutherford College, NC 28671 | 2014-08-07 |
| 1336479252 | Kristy Perry Guillen | Pharmacist | 722 Malcolm Boulevard, Rutherford College, NC 28671 | 2009-12-29 |
| 1104060433 | Carolina Orthopaedic Specialist. Pa | Durable Medical Equipment & Medical Supplies | 841 Malcolm Blvd, Rutherford College, NC 28671 | 2009-04-30 |
| 1073646865 | Morganton Eye Physicians, P.a. | Optometrist | 831 Malcolm Blvd, Rutherford College, NC 28671 | 2007-03-13 |
| 1265591317 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 301 Us 70, Rutherford College, NC 28671 | 2006-12-06 |
| 1780772715 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 730 Malcolm Blvd., Suite 230, Rutherford College, NC 28671 | 2006-10-11 |
| 1205847423 | Women's Health Care,p.a. | Obstetrics & Gynecology | 721 D Malcolm Blvd., Rutherford College, NC 28671 | 2006-08-11 |
| 1174534648 | Morganton Eye Physicians, P.a. | Eyewear Supplier (Equipment, not the service) | 831 Malcolm Boulevard, Optical Department, Rutherford College, NC 28671 | 2006-08-10 |
| Find all providers in zip 28671 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1184163883 | Dlp Central Carolina Medical Group LLC | Urology | 1139 Carthage St Ste 110-b, Sanford, NC 27330-4111 | 2017-02-15 |
| 1578007225 | Cumberland County Hospital System Inc | Urology | 805 Tilghman Dr, Suite A, Dunn, NC 28334-5887 | 2016-12-15 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1588019152 | Murphy Medical Center, Inc. | Urology | 75 Medical Park Ln Ste A, Murphy, NC 28906-6673 | 2016-05-02 |
| 1427446723 | Regional Physicians LLC | Urology | 217- 218 Gatewood Ave, High Point, NC 27262-4877 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD COLLEGE |
| Zip Code | 28671 |
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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.