BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. (NPI# 1104914175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104914175 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. |
| Other Organization Name | BLUE RIDGE INTERNAL MEDICINE |
| Practice Address |
730 Malcolm Blvd Suite 100 Rutherford College NC 28671-0000 |
| Practice Telephone | 8285808220 |
| Practice Fax Number | 8285803392 |
| Mailing Telephone | 8285808220 |
| Mailing Fax Number | 8285803392 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-08-03 |
| 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 |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Blue Ridge Internal Medicine | 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 |
730 MALCOLM BLVD SUITE 100 |
| City | RUTHERFORD COLLEGE |
| State | NC |
| Zip Code | 28671-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790729994 | Hemen Joshi | Internal Medicine | 730 Malcolm Blvd, Suite 100, Rutherford College, NC 28671 | 2006-06-16 |
| 1710129564 | Blue Ridge Healthcare Medical Group, Inc. | Orthopaedic Surgery | 730 Malcolm Blvd, Suite 220, Rutherford College, NC 28671 | 2009-03-25 |
| 1598855751 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 730 Malcolm Blvd, Suite 100, Rutherford College, NC 28671 | 2006-10-16 |
| 1285735191 | Blue Ridge Healthcare Medical Group, Inc. | Neuromusculoskeletal Medicine & OMM | 730 Malcolm Blvd, Suite 150, Rutherford College, NC 28671 | 2006-09-25 |
| 1568497964 | Stewart Andrews Deekens Jr. | Family Medicine | 730 Malcolm Blvd, Suite 150, Rutherford College, NC 28671 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432160 | Emily Bordeleau Cannon | Nutritionist | 721-d Malcom Blvd, Rutherford College, NC 28671 | 2020-09-16 |
| 1730557091 | Kelly Hartman | Pharmacist | 722 Malcolm Blvd, Rutherford College, NC 28671 | 2015-09-03 |
| 1053720730 | Micah Loren Wilson | Nurse Practitioner | 111 Hilltop Street, Rutherford College, NC 28671 | 2014-08-07 |
| 1336479252 | Kristy Perry Guillen | Pharmacist | 722 Malcolm Boulevard, Rutherford College, NC 28671 | 2009-12-29 |
| 1104060433 | Carolina Orthopaedic Specialist. Pa | Durable Medical Equipment & Medical Supplies | 841 Malcolm Blvd, Rutherford College, NC 28671 | 2009-04-30 |
| 1073646865 | Morganton Eye Physicians, P.a. | Optometrist | 831 Malcolm Blvd, Rutherford College, NC 28671 | 2007-03-13 |
| 1265591317 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 301 Us 70, Rutherford College, NC 28671 | 2006-12-06 |
| 1780772715 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 730 Malcolm Blvd., Suite 230, Rutherford College, NC 28671 | 2006-10-11 |
| 1205847423 | Women's Health Care,p.a. | Obstetrics & Gynecology | 721 D Malcolm Blvd., Rutherford College, NC 28671 | 2006-08-11 |
| 1174534648 | Morganton Eye Physicians, P.a. | Eyewear Supplier (Equipment, not the service) | 831 Malcolm Boulevard, Optical Department, Rutherford College, NC 28671 | 2006-08-10 |
| Find all providers in zip 28671 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1194832758 | Sarvesh Rao Sathiraju | Internal Medicine | 560 Malcolm Blvd, Rutherford College, NC 28671-0848 | 2006-08-23 |
| 1790729994 | Hemen Joshi | Internal Medicine | 730 Malcolm Blvd, Suite 100, Rutherford College, NC 28671 | 2006-06-16 |
| 1427092659 | Jamie Young | Internal Medicine | 560 Malcolm Blvd., Rutherford College, NC 28671 | 2006-06-16 |
| 1407001431 | Jamie S. Young, Md, Phd, Pa | Internal Medicine | 560 Malcolm Blvd., Suite G-2, Rutherford College, NC 28671-0000 | 2008-11-18 |
| 1174671275 | Gowri D Sathiraju Md Pa | Internal Medicine | 560 Malcolm Blvd., Suite F, Rutherford College, NC 28671-0848 | 2007-01-08 |
| 1598855751 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 730 Malcolm Blvd, Suite 100, Rutherford College, NC 28671 | 2006-10-16 |
| 1720175367 | John Holloway Sherrill | Internal Medicine | 560 Malcolm Blvd, Rutherford College, NC 28671 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475474 | Fhpg, LLC | Internal Medicine | 1690 Us Highway 1 S Ste 300, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
| 1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD COLLEGE |
| Zip Code | 28671 |
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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.