BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (NPI# 1962635540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962635540 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. |
| Other Organization Name | BLUE RIDGE CARDIOLOGY-MORGANTON |
| Practice Address |
2209 S. Sterling Street Suite 440 Morganton NC 28655 |
| Practice Telephone | 8285804230 |
| Practice Fax Number | 8285804239 |
| Mailing Telephone | 8285804230 |
| Mailing Fax Number | 8285804239 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2018-03-09 |
| 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 |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1962635540 | 05 |
| Other Name | Type Code |
|---|---|
| Blue Ridge Cardiology-Morganton | 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 |
2209 S. STERLING STREET SUITE 440 |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972683126 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 2209 S. Sterling Street, Suite 300, Morganton, NC 28655 | 2006-10-16 |
| 1932280948 | Blue Ridge Healthcare Medical Group, Inc. | Orthopaedic Surgery | 2209 S. Sterling Street, Suite 530, Morganton, NC 28655 | 2006-10-17 |
| 1790865814 | Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | 2209 S. Sterling Street, Suite 440, Morganton, NC 28655 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730290271 | Roger Lee Seagle Sr. | Internal Medicine | 505 E Parker Rd, Morganton, NC 28655-5104 | 2006-08-31 |
| 1003873530 | Walter Curtis Pearcy | Internal Medicine | 137 W Parker Rd, Suite B, Morganton, NC 28655-4622 | 2006-04-27 |
| 1740243823 | Ryan Vern Miller | Internal Medicine | 2209 S Sterling St Ste 530, Morganton, NC 28655-4093 | 2006-04-10 |
| 1366401036 | Sardar Mahmood Shah Khan | Internal Medicine | 303 S College St, Morganton, NC 28655-3844 | 2006-03-21 |
| 1538139779 | Mark Hazen | Internal Medicine | 2209 S Sterling St, Suite 600, Morganton, NC 28655-4091 | 2006-01-23 |
| 1487651535 | Charles G Vasey | Internal Medicine | 127 Wamsutta Mill Rd Ste D, Morganton, NC 28655-5523 | 2005-07-05 |
| 1942525464 | Carolinas Physicians Network Inc | Internal Medicine | 2209 S Sterling St, Ste 530, Morganton, NC 28655-4091 | 2010-03-29 |
| 1124282413 | Sean Pokorney | Internal Medicine | 2209 S Sterling St Ste 530, Morganton, NC 28655-4093 | 2008-07-15 |
| 1417137811 | Cardiology Associates of The Carolinas, P.a. | Internal Medicine | 505 E Parker Rd, Morganton, NC 28655-5104 | 2007-11-14 |
| 1093923187 | Fernando A. De La Serna | Internal Medicine | 2209 S Sterling St Ste 530, Morganton, NC 28655-4093 | 2007-05-20 |
| Find all providers in MORGANTON | ||||
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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.