BLUE RIDGE ULTRASOUND, INC. (NPI# 1417186602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417186602 |
Entity Type | Organization |
Organization Name | BLUE RIDGE ULTRASOUND, INC. |
Other Organization Name | REGIONAL SONOGRAPHY SPECIALISTS, INC. |
Practice Address |
600 Hospital Dr Suite 4 Clyde NC 28721-8024 |
Mailing Address |
600 Hospital Dr Ste 4 Clyde NC 28721-8046 |
Practice Telephone | 8284520881 |
Practice Fax Number | 8284520883 |
Mailing Telephone | 8284520881 |
Mailing Fax Number | 8284520883 |
Enumeration Date | 2009-07-08 |
Last Update Date | 2009-09-18 |
Authorized Official Name | MRS. TAMMY RENEE' CORZINE (PRESIDENT) |
Authorized Official Telephone | 8284520881 |
Authorized Official Credential | RDMS, RVT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
101697 | NC | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Regional Sonography Specialists, Inc. | Former Legal Business Name - Organization |
Street Address |
600 HOSPITAL DR SUITE 4 |
City | CLYDE |
State | NC |
Zip Code | 28721-8024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720419955 | Radiation Therapy Associates of Western North Carolina Pa | Internal Medicine | 600 Hospital Dr, Suite 4, Clyde, NC 28721-8046 | 2013-12-13 |
1699104752 | Accuquest Hearing Centers LLC | Clinic/Center | 600 Hospital Dr, Suite 6, Clyde, NC 28721-8024 | 2013-11-08 |
1699053942 | Haywood Regional Medical Center | Internal Medicine | 600 Hospital Dr, Suite 9, Clyde, NC 28721-8024 | 2011-08-03 |
1114182359 | Michael William Vavra | Psychiatry & Neurology | 600 Hospital Dr, Ste 9, Clyde, NC 28721-8024 | 2008-07-28 |
1437277514 | Leslie D. Mcdowell | Nurse Practitioner | 600 Hospital Dr, Suite 9, Clyde, NC 28721-8024 | 2007-03-27 |
1285655308 | Christofer Catterson Md Pa | Specialist | 600 Hospital Dr, Suite #3, Clyde, NC 28721-8024 | 2006-07-22 |
1063431849 | Scott D Skibo | Internal Medicine | 600 Hospital Dr, Suite 4, Clyde, NC 28721-8024 | 2006-07-19 |
1437184595 | Nancy Diane Stamey | Specialist | 600 Hospital Dr, Suite 8, Clyde, NC 28721-8024 | 2006-07-11 |
1063452506 | Barton R. Paschal | Internal Medicine | 600 Hospital Dr, Suite 10b, Clyde, NC 28721-8024 | 2006-06-06 |
1972553790 | Randolph L. Royster Jr. | Radiology | 600 Hospital Dr, Suite 10, Clyde, NC 28721-8046 | 2006-05-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659828366 | Arcadia Pathology Network, Pllc | Pathology | 262 Leroy George Dr Pathology, Clyde, NC 28721 | 2016-09-10 |
1063760999 | Jenny Helms Caldwell | Pharmacist | 231 Ironwood Dr., Clyde, NC 28721 | 2012-08-27 |
1306112958 | Lynette Mount | Specialist/Technologist | 76 Leroy George Drive, Clyde, NC 28721 | 2012-03-28 |
1821242926 | Haywood Regional Medical Center | Clinic/Center | 75 Leroy George Drive, Clyde, NC 28721 | 2008-11-17 |
1770757338 | Colin James Bridger | Physical Therapist | 262 Leroy George Dve, Clyde, NC 28721 | 2008-04-15 |
1851585236 | Lori Anne Gerber | Counselor | 33 Sharon Lynne Way, Clyde, NC 28721 | 2007-08-29 |
1487779328 | Sandra Y Fowler | Social Worker | 73 Main St., Clyde, NC 28721 | 2007-03-20 |
1164593810 | County of Haywood | Case Management | 157 Paragon Pkwy Ste 300, Clyde, NC 28721 | 2006-11-13 |
1992779730 | Leroy S Crapanzano Jr. | Dentist | 157 Paragon Parkway, Haywood County Health Department, Clyde, NC 28721 | 2006-02-16 |
1063492007 | Ann Marie Mcdonald | Nurse Practitioner | 360 Hospital Dr Ste 120, Clyde, NC 28721 | 2006-01-17 |
Find all providers in zip 28721 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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1306344577 | Union Medical Services, LLC | Clinic/Center | 103 Stanly Pkwy Ste E, Locust, NC 28097-7711 | 2018-01-23 |
1417298134 | Columbus Regional Diagnostics | Clinic/Center | 619 Jefferson St., Ste. 2, Whiteville, NC 28472-3707 | 2013-03-05 |
1043593395 | Waccamaw Ultrasound & Diagnostics | Clinic/Center | 112 E White Oak St, Lake Waccamaw, NC 28450-2128 | 2011-09-22 |
1912192006 | Advanced Imaging, Inc. | Clinic/Center | 406 Thompson St, Eden, NC 27288-5044 | 2007-09-11 |
1124123104 | Sonography Services Inc | Clinic/Center | 125 Wamsutta Mill Rd, Suite B, Morganton, NC 28655-5522 | 2006-09-14 |
1164527149 | Sonocare, LLC | Clinic/Center | 125 B Wamsutta Mill Rd., Morganton, NC 28655 | 2006-09-14 |
1447290010 | Coastal Carolina Health Care Pa | Clinic/Center | 1030 Medical Park Ave, New Bern, NC 28562-5248 | 2006-06-08 |
1588611677 | Sunset Imaging, LLC | Clinic/Center | 850 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2006-05-27 |
1740231984 | Foundation Health Systems Corp | Clinic/Center | 1701 S Hawthorne Rd, Winston-salem, NC 27103-4015 | 2006-05-12 |
1881239093 | Southeast Radiology Associates Pllc | Clinic/Center | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 | 2019-11-12 |
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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.