BLUE RIDGE HEART & WELLNESS, LLC (NPI# 1104347103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104347103 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEART & WELLNESS, LLC |
| Practice Address |
300 Hickman Rd Ste 202 Charlottesville VA 22911-3554 |
| Practice Telephone | (434) 296-9596 |
| Practice Fax Number | 4342969196 |
| Mailing Telephone | 4342969596 |
| Mailing Fax Number | 4342969196 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | MR. DOUGLAS A STEWART (SOLE MEMBER) |
| Authorized Official Telephone | 4342969596 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
300 HICKMAN RD STE 202 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548650716 | Blue Ridge Heart and Vascular | Specialist | 300 Hickman Rd Ste 202, Charlottesville, VA 22911-3554 | 2015-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| 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 |
|---|---|---|---|---|
| 1275899700 | David Shisler | Internal Medicine | 1215 Lee St Rm 4025, Charlottesville, VA 22908-3841 | 2012-04-10 |
| 1548428287 | Surovi Hazarika | Internal Medicine | 2955 Ivy Rd Ste 201, Charlottesville, VA 22903-9353 | 2008-05-29 |
| 1376609610 | Michael Ragosta | Internal Medicine | 1215 Lee St Heart Center Lee Street, Charlottesville, VA 22908-0001 | 2006-12-29 |
| 1720141740 | Carlos R. Ayers | Internal Medicine | Uva Northridge, 2955 Ivy Road, Charlottesville, VA 22903 | 2006-12-19 |
| 1215006846 | James M. Mangrum | Internal Medicine | Lee St Ground Floor, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1225088107 | Max A Luna | Internal Medicine | 500 Ray C Hunt Dr Fl 2, Charlottesville, VA 22903-2981 | 2006-05-11 |
| 1548240344 | Blue Ridge Heart and Vascular Plc | Internal Medicine | 300 Hickman Rd, Suite 202, Charlottesville, VA 22911-3554 | 2006-01-18 |
| 1407836380 | Joshua J Fischer | Internal Medicine | 650 Peter Jefferson Pkwy Ste 100, Charlottesville, VA 22911-8844 | 2006-01-18 |
| 1851376818 | Christopher D Friend | Internal Medicine | 650 Peter Jefferson Pkwy, Ste 100, Charlottesville, VA 22911-8844 | 2005-12-13 |
| 1952302093 | Richard P. Shannon | Internal Medicine | Lee St Fl 1, Charlottesville, VA 22908-0001 | 2005-08-10 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on BLUE RIDGE HEART & WELLNESS, LLC.
| 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.