BLUE RIDGE ORTHOPAEDIC ASSOC, PA (NPI# 1376569343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376569343 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE ORTHOPAEDIC ASSOC, PA |
| Other Organization Name | BLUE RIDGE ORTHOPAEDICS |
| Practice Address |
100 Healthy Way Suite 1200 Anderson SC 29621-7916 |
| Mailing Address |
10630 Clemson Blvd Suite 100 Seneca SC 29678-4545 |
| Practice Telephone | 8644826000 |
| Mailing Telephone | 8642609910 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | MS. JO STOKES (ADMINISTRATOR) |
| Authorized Official Telephone | 8644826165 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PA4584 | 05 |
| Other Name | Type Code |
|---|---|
| Blue Ridge Orthopaedics | Other Name - Individual/Organization |
| Street Address |
100 HEALTHY WAY SUITE 1200 |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-7916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952394306 | Holly Deann Gerkin | Specialist/Technologist | 100 Healthy Way, Suite 1110, Anderson, SC 29621-2067 | 2005-08-31 |
| 1285154914 | Anmed Health | Internal Medicine | 100 Healthy Way, Anderson, SC 29621-7915 | 2017-06-23 |
| 1780046102 | Erika Mccarty | Nurse Practitioner | 100 Healthy Way, Suite 1120, Anderson, SC 29621-7915 | 2016-03-24 |
| 1972963296 | Elizabeth Dawson | Dietitian, Registered | 100 Healthy Way, Suite 1100, Anderson, SC 29621-7915 | 2016-02-29 |
| 1225400997 | Raechele Simpson | Nurse Practitioner | 100 Healthy Way, Anderson, SC 29621-7915 | 2015-10-21 |
| 1477957751 | Joseph Davidson | Physical Therapist | 100 Healthy Way, 1110, Anderson, SC 29621-7915 | 2014-10-15 |
| 1740697002 | Christopher K Broome | Nurse Practitioner | 100 Healthy Way, Suite 1260, Anderson, SC 29621-7915 | 2014-07-18 |
| 1093146375 | Jamin Allen Parnell | Physician Assistant | 100 Healthy Way, Suite 1200, Anderson, SC 29621-7915 | 2013-12-11 |
| 1245671049 | Neuroscience Associates of The Upstate Pa | Psychiatry & Neurology | 100 Healthy Way, Suite 1240, Anderson, SC 29621-7915 | 2013-07-10 |
| 1114360427 | Piedmont Neurology of The Upstate, Pa | Psychiatry & Neurology | 100 Healthy Way, Suite 1240, Anderson, SC 29621-7915 | 2013-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649285305 | Nirmal K Surtani | Orthopaedic Surgery | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932369030 | Guillaume David Dumont | Orthopaedic Surgery | 2 Medical Park Road, Suite 104, Columbia, SC 29203-6875 | 2008-06-11 |
| 1922111715 | South Carolina Sports Medicine & Orthopaedic Center | Orthopaedic Surgery | 9100 Medcom Street, N Charleston, SC 29406 | 2006-08-16 |
| 1578570107 | Seth P Kupferman | Orthopaedic Surgery | 9100 Medcom St, N Charleston, SC 29406 | 2006-08-03 |
| 1720096357 | Gary E Windler | Orthopaedic Surgery | 9100 Medicom St, N Charleston, SC 29406 | 2006-08-03 |
| 1013965789 | Southern Orthopaedic Sports Medicne | Orthopaedic Surgery | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-05-05 |
| 1427011485 | Thomas A. Leong | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200l, Greer, SC 29650-4902 | 2006-04-10 |
| 1770552481 | Bright Mcconnell IIi | Orthopaedic Surgery | 900 Island Park Dr, Suite 105, Daniel Island, SC 29492-7559 | 2006-03-15 |
| 1730162058 | David R Kingery | Orthopaedic Surgery | 811 W Main St Ste 101, Lexington, SC 29072-2500 | 2005-11-21 |
| 1770583817 | Robert Mario Dasilva | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-07-29 |
| 1619575958 | Lexington Health Inc | Orthopaedic Surgery | 146 E Hospital Dr Ste 350, West Columbia, SC 29169-4800 | 2020-10-09 |
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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.