BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC (NPI# 1023376829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023376829 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC |
| Other Organization Name | BLUE RIDGE MULTISPECIALTY CLINIC - LENOIR |
| Practice Address |
1208 Hickory Blvd Sw Ste 102 Lenoir NC 28645-6461 |
| Practice Telephone | 8289913278 |
| Practice Fax Number | 8285803283 |
| Mailing Telephone | 8289913278 |
| Mailing Fax Number | 8285803283 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | ROBERT G FRITTS (SVP / CFO) |
| Authorized Official Telephone | 8285805696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2011-00879 | NC | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2012-00598 | NC | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
2011-00879 | NC | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 2013-00091 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2009-01071 | NC | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 9900164 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Blue Ridge Multispecialty Clinic - Lenoir | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326450743 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 2293 Sugar Hill Rd, Suite A, Marion, NC 28752-7787 | 2014-05-21 |
| 1831501261 | Blue Ridge Healthcare Medical Group, Inc | Urology | 2209 S Sterling St Ste 530, Morganton, NC 28655-4093 | 2014-05-20 |
| 1699197012 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 720 Malcolm Blvd, Suite 200, Connelly Springs, NC 28612-7920 | 2014-01-21 |
| 1427482926 | Blue Ridge Healthcare Medical Group, Inc | Obstetrics & Gynecology | 721 D Malcolm Blvd., Rutherford College, NC 28671 | 2013-09-03 |
| 1568725281 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 2209 S Sterling St, Suite 330, Morganton, NC 28655-4091 | 2012-06-18 |
| 1932466521 | Blue Ridge Healthcare Medical Group, Inc | Family Medicine | 115 Foothills Dr, Morganton, NC 28655-5152 | 2012-04-19 |
| 1952626384 | Blue Ridge Healthcare Medical Group, Inc | Neuromusculoskeletal Medicine & OMM | 301 Linville Street, Glen Alpine, NC 28628 | 2010-03-29 |
| 1194780411 | Blue Ridge Healthcare Medical Group, Inc | Pediatrics | 1860 Sugar Hill Rd, Marion, NC 28752-5565 | 2006-04-19 |
| Street Address |
1208 HICKORY BLVD SW STE 102 |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-6461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184718199 | Kathleen M Lappin | Physician Assistant | 1208 Hickory Blvd Sw Ste 102, Lenoir, NC 28645-6461 | 2006-10-03 |
| 1083094304 | Stephanie M. Chambers | Physician Assistant | 1208 Hickory Blvd Sw Ste 102, Lenoir, NC 28645-6461 | 2015-06-02 |
| 1891002374 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 1208 Hickory Blvd Sw Ste 102, Lenoir, NC 28645-6461 | 2010-09-07 |
| 1881823896 | David Edward Propst | Nurse Practitioner | 1208 Hickory Blvd Sw Ste 102, Lenoir, NC 28645-6461 | 2009-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
| Find all providers in zip 28645 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1205324449 | Innovative Healthcare Management Provider Group | Internal Medicine | 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031-6575 | 2018-04-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1710480066 | Novant Medical Group, Inc. | Internal Medicine | 1450 Matthews Township Pkwy Ste 400, Matthews, NC 28105-5336 | 2018-03-13 |
| 1710306204 | Serena Wong | Internal Medicine | 40 Duke Medicine Cir Rm 2512, Durham, NC 27710-2527 | 2014-04-10 |
| 1033554811 | Ben Adam Blomberg | Internal Medicine | 6011 Farrington Rd, Suite 101, Chapel Hill, NC 27517-8168 | 2013-05-07 |
| 1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
| 1780974584 | Claire Kathryn Larson | Internal Medicine | 5003 Old Clinic Bldg Cb 7550, Chapel Hill, NC 27599-2204 | 2011-04-13 |
| 1316236649 | Mia Yang | Internal Medicine | Internal Medicine Section On Gerontology &, 1st Floor Sticht Center, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2011-04-07 |
| 1659673838 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1200 N Elm Street, Moses Cone Health System, Administrativeservices,ste201, Greensboro, NC 27401-1020 | 2010-11-22 |
| 1871821728 | Pamela Estelle Gutman | Internal Medicine | 189 Country Club Rd, Asheville, NC 28804 | 2009-12-03 |
| 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.