BLUE RIDGE HEALTHCARE PARTNERS, LLC (NPI# 1518304955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518304955 |
Entity Type | Organization |
Organization Name | BLUE RIDGE HEALTHCARE PARTNERS, LLC |
Practice Address |
602 Brandon Ave Suite 222 Roanoke VA 24015 |
Mailing Address |
Po Box 2022 Burlington NC 27216-2022 |
Practice Telephone | 5407740000 |
Practice Fax Number | 5407740085 |
Mailing Telephone | 3362229299 |
Enumeration Date | 2013-05-24 |
Last Update Date | 2013-05-24 |
Authorized Official Name | JOHN JACOB GILLIAM JR. (MEMBER MANAGER) |
Authorized Official Telephone | 3365167084 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
602 BRANDON AVE SUITE 222 |
City | ROANOKE |
State | VA |
Zip Code | 24015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
1043395825 | Michael Burgoon | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
1467972604 | Melanie Quillen | Social Worker | 1719 Grandin Rd Sw, Roanoke, VA 24015 | 2017-06-20 |
Find all providers in zip 24015 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780153734 | Kallal Bros, LLC | Clinic/Center | 1104 N Highway 377 Ste 200, Roanoke, TX 76262-9124 | 2018-11-20 |
1205347770 | W. Hampton Pasley, M.d., Plc | Clinic/Center | 3390 Colonial Ave, Roanoke, VA 24018-3740 | 2017-10-23 |
1710315825 | Express Family Care, LLC | Clinic/Center | 3960 Valley Gateway Blvd, Suite 1-a, Roanoke, VA 24012-6858 | 2013-10-29 |
1053634873 | Roanoke Partners In Health, PC | Clinic/Center | 3239 Electric Rd, Suite A, Roanoke, VA 24018-6444 | 2010-03-08 |
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1124626478 | Partners In Family Practice LLC | Clinic/Center | 430 Clairmont Ct Ste 123, Colonial Heights, VA 23834-1770 | 2020-10-09 |
1730790874 | Janice G. Sadaya-conda M.d., Pllc | Clinic/Center | 6128 Brandon Ave Ste 225, Springfield, VA 22150-2640 | 2020-08-12 |
1598375610 | Johnson Venture Management Solutions, Inc. | Clinic/Center | 17 Langley Blvd Bldg 1216, Hampton, VA 23681-2143 | 2020-08-04 |
1376161745 | Susan Minter Dnp Aprn LLC | Clinic/Center | 1234 Ridout Rd, La Crosse, VA 23950-2808 | 2020-07-11 |
1295359883 | Advanced Onsite Care LLC | Clinic/Center | 1045 Robert Welch Ln, Chesapeake, VA 23320-6770 | 2020-05-30 |
1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
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.