BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC (NPI# 1194780411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194780411 |
Entity Type | Organization |
Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC |
Other Organization Name | MCDOWELL MEDICAL ASSOCIATES, PA |
Practice Address |
1860 Sugar Hill Rd Marion NC 28752-5565 |
Practice Telephone | 8286528727 |
Practice Fax Number | 8286528793 |
Mailing Telephone | 8286528727 |
Mailing Fax Number | 8286528793 |
Enumeration Date | 2006-04-19 |
Last Update Date | 2011-09-27 |
Authorized Official Name | MR. ROBERT FRITTS (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 8285805000 |
Is Organization Subpart | Y |
Parent Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 40576 | NC | Allopathic & Osteopathic Physicians |
Y | 207Q00000X | Family Medicine | 40576 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 690168L | 05 | |
NC | CLIA # | 34D0699936 | 01 |
NC | 5915267 | 05 | |
NC | BCBSNC | 023T1 | 01 |
NC | CLIA | 34D0947561 | 01 |
Other Name | Type Code |
---|---|
McDowell Medical Associates, PA | 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 |
1023376829 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 1208 Hickory Blvd Sw Ste 102, Lenoir, NC 28645-6461 | 2012-04-30 |
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 |
Street Address |
1860 SUGAR HILL RD |
City | MARION |
State | NC |
Zip Code | 28752-5565 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306836689 | Daniel Leo Shea | Physician Assistant | 1860 Sugar Hill Rd, Marion, NC 28752-5565 | 2005-10-26 |
1801120654 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 1860 Sugar Hill Rd, Marion, NC 28752-5565 | 2009-09-28 |
1487622783 | Nancy Jean Byrnes | Nurse Practitioner | 1860 Sugar Hill Rd, Marion, NC 28752-5565 | 2006-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
Find all providers in zip 28752 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528525359 | Medical Wellness Clinic | Family Medicine | 79 Academy St Ste D, Marion, NC 28752-3901 | 2019-02-28 |
1174092720 | Carehere LLC | Family Medicine | 83333 Express Drive, Suite # D, Marion, IL 62959-8226 | 2018-11-13 |
1972999035 | Charles Anthony Thompson | Family Medicine | 130 University Dr Ste 1100, Marion, OH 43302-1118 | 2015-04-15 |
1639583164 | Central Ohio Visiting Physicians | Family Medicine | 117 N Greenwood St, Suite 4, Marion, OH 43302-3129 | 2014-06-12 |
1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
1659613362 | Crittenden Hospital Association | Family Medicine | 303 Bancario Rd., Suite 1, Marion, AR 72364-2220 | 2013-03-20 |
1598027765 | Jesse William Pace | Family Medicine | 5623 Highway 221 South, Marion, NC 28752-6101 | 2012-06-13 |
1215203708 | Qihui Joanna Liu | Family Medicine | 1713 Marion Mount Gilead Rd Ste 108, Marion, OH 43302-7868 | 2012-03-28 |
1356612006 | Marion Chronic Care Ltd | Family Medicine | 4501 W Deyoung St Ste B-203, Marion, IL 62959-6385 | 2012-01-25 |
1114213766 | Dave Parker Inc | Family Medicine | 1224 Greer Ave, Marion, VA 24354-4306 | 2011-06-22 |
Find all providers in MARION |
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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.