BLUE RIDGE SURGICAL CENTER, LLC (NPI# 1023010311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023010311 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE SURGICAL CENTER, LLC |
| Practice Address |
4240 Blue Ridge Blvd Ste 950 Kansas City MO 64133-1755 |
| Mailing Address |
4240 Blue Ridge Blvd Suite 950 Kansas City MO 64133-1713 |
| Practice Telephone | 8163589990 |
| Practice Fax Number | 8163581608 |
| Mailing Telephone | 8163589990 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152345900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
130-1 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P00082928 | 01 | |
| MO | 506099100 | 05 |
| Street Address |
4240 BLUE RIDGE BLVD STE 950 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64133-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719497 | Brian Olmstead | Physical Therapist | 4240 Blue Ridge Blvd, Kansas City, MO 64133-1713 | 2019-09-12 |
| 1972016954 | Devin Bond | Counselor | 4240 Blue Ridge Blvd, Kansas City, MO 64133-1713 | 2017-11-13 |
| 1053869297 | Jennifer Dunsdon | Social Worker | 4240 Blue Ridge Blvd, Kansas City, MO 64133-1713 | 2016-09-16 |
| 1942682760 | Hometown Hearing & Audiology, Inc. | Audiologist | 4240 Blue Ridge Blvd, 200, Kansas City, MO 64133-1704 | 2015-06-29 |
| 1609261866 | Stuart Pollack | Hearing Instrument Specialist | 4240 Blue Ridge Blvd, Kansas City, MO 64133-1713 | 2015-04-03 |
| 1528452463 | Brian Wayne Heiniger | Ophthalmology | 4240 Blue Ridge Blvd, Ste 210, Kansas City, MO 64133-1715 | 2015-03-27 |
| 1992106009 | Manning Family Practice, LLC | Clinic/Center | 4240 Blue Ridge Blvd, Suite 611, Kansas City, MO 64133-1747 | 2014-09-08 |
| 1922409036 | Quick Care, LLC | Clinic/Center | 4240 Blue Ridge Blvd, Suite 611, Kansas City, MO 64133-1713 | 2014-09-08 |
| 1912328691 | Molly Kurtz | Physician Assistant | 4240 Blue Ridge Blvd, Suite #611, Kansas City, MO 64133-1713 | 2013-12-23 |
| 1487929030 | Yourmedicinekc.com LLC | Non-Pharmacy Dispensing Site | 4240 Blue Ridge Blvd, Suite 611b, Kansas City, MO 64133-1713 | 2012-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801323191 | Ns Surgical Center LLC | Clinic/Center | 10 E Cambridge Circle Dr Ste 150, Kansas City, KS 66103-1393 | 2017-05-17 |
| 1023428281 | Heartland Regional Medical Center | Clinic/Center | 8860 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2014-04-28 |
| 1942272851 | Independence Asc LLC | Clinic/Center | 9601 Ne 79th St, Kansas City, MO 64158-1117 | 2006-02-03 |
| 1912993833 | Surgicenter of Kansas City, LLC | Clinic/Center | 701 E 101st Terrace, Kansas City, MO 64131-4271 | 2005-09-26 |
| 1114929411 | Heart of America Surgery Center, LLC | Clinic/Center | 8935 State Ave, Kansas City, KS 66112-1645 | 2005-06-01 |
| 1124522495 | Kc Childrens Surgery Center LLC | Clinic/Center | 7848 State Ave, Kansas City, KS 66112-2417 | 2018-03-21 |
| 1376045146 | Saint Lukes Surgery Center Shoal Creek, LLC | Clinic/Center | 8860 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2018-03-07 |
| 1750835179 | Total Joint Center of The Northland, LLC | Clinic/Center | 200 Ne 54th St, Suite 200, Kansas City, MO 64118 | 2016-08-15 |
| 1700263415 | North Point Surgery Center, LLC | Clinic/Center | 5151 Nw 88th St, Kansas City, MO 64154 | 2015-05-01 |
| 1538592092 | Heart of America Asc, LLC | Clinic/Center | 8935 State Ave, Kansas City, KS 66112-1645 | 2013-08-19 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64133 |
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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.