BLUE RIDGE REGIONAL HOSPITAL, INC. (NPI# 1447707492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447707492 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE REGIONAL HOSPITAL, INC. |
| Other Organization Name | CANCER CARE OF WESTERN NORTH CAROLINA-MISSION |
| Practice Address |
125 Hospital Dr Spruce Pine NC 28777-3035 |
| Mailing Address |
Po Box 602706 Charlotte NC 28260-2706 |
| Practice Telephone | 8282534262 |
| Mailing Telephone | 8282534262 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | RHONDA A MILLER (VP-CO) |
| Authorized Official Telephone | 8286514144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cancer Care of Western North Carolina-Mission | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992186092 | Blue Ridge Regional Hospital, Inc. | Obstetrics & Gynecology | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-06-15 |
| 1063838712 | Blue Ridge Regional Hospital, Inc. | Surgery | 800 Medical Campus Dr, Burnsville, NC 28714-9010 | 2014-03-05 |
| 1538584875 | Blue Ridge Regional Hospital, Inc. | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2014-02-24 |
| 1699918870 | Blue Ridge Regional Hospital, Inc. | Anesthesiology | 189 Hospital Dr, Spruce Pine, NC 28777-3035 | 2009-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BLUE RIDGE REGIONAL HOSPITAL, INC. | 125 Hospital Dr, Spruce Pine, NC 28777-3035 |
| Street Address |
125 HOSPITAL DR |
| City | SPRUCE PINE |
| State | NC |
| Zip Code | 28777-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204048 | Kaitlyn Hobbs | Speech-Language Pathologist | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2020-08-03 |
| 1790252856 | Mh Blue Ridge Medical Center, Lllp | Medicare Defined Swing Bed Unit | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-10-26 |
| 1578048294 | Mh Blue Ridge Medical Center, Lllp | General Acute Care Hospital | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-09-27 |
| 1184133100 | Blue Ridge Regional Hospital, Inc | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2017-09-21 |
| 1386181006 | Mission Medical Associates, Inc. | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2017-01-20 |
| 1093160582 | Timothy Scott Holcomb | Physician Assistant | 125 Hospital Dr, Blue Ridge Regional Hospital, Spruce Pine, NC 28777-3035 | 2016-05-03 |
| 1316323777 | Edward Jay Kauffman | Nurse Practitioner | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-08-07 |
| 1992186092 | Blue Ridge Regional Hospital, Inc. | Obstetrics & Gynecology | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-06-15 |
| 1467847160 | Stephen Kimmel | Family Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-03-31 |
| 1457754566 | Sonia Ferrandiz | Nurse Practitioner | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2014-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013405265 | Spruce Pine Chiropractic, Pllc | Clinic/Center | 31 Cross Street, Suite 266, Spruce Pine, NC 28777 | 2018-04-24 |
| 1326463316 | Susan Lynn Lamont | Counselor | 2206 Carters Ridge Rd, Spruce Pine, NC 28777 | 2014-02-27 |
| 1548521115 | Mitchell House One, LLC | Assisted Living Facility | 13681 Hwy 226 South, Spruce Pine, NC 28777 | 2012-05-31 |
| 1245590025 | Lisa Wade Thomas | Hearing Instrument Specialist | 11887 S. P. Shopping Ctr, Spruce Pine, NC 28777 | 2012-05-25 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1326272824 | Brie Michele Folkner | Family Medicine | 537 Altapass Hwy Ste C, Spruce Pine, NC 28777 | 2009-05-12 |
| 1093901290 | Patricia Susan Noser | Nurse Practitioner | 12348 South 226 Highway, Spruce Pine, NC 28777 | 2007-09-20 |
| 1194943092 | Blue Ridge General Surgery, PC | Surgery | 8017 Nineteen E Highway, Spruce Pine, NC 28777 | 2007-04-23 |
| 1528186277 | Bruce Dennis Crawford | Dentist | 600 Amity Park Rd, Dental-avery Mitchell Correctional Institution, Spruce Pine, NC 28777 | 2007-03-27 |
| 1134284755 | Freedom Memorial In-home Monitoring | Durable Medical Equipment & Medical Supplies | 1422 Roan Road, Spruce Pine, NC 28777 | 2006-12-26 |
| Find all providers in zip 28777 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356613830 | Mission Hospitals Inc | Internal Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2012-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916771 | American Oncology Partners, Pa | Internal Medicine | 10 One Center Ct, Franklin, NC 28734-0095 | 2020-03-10 |
| 1215570890 | American Oncology Partners, P.a. | Internal Medicine | 1860 Sugar Hill Rd Ste A, Marion, NC 28752-5565 | 2019-10-25 |
| 1730658808 | Laura Kolker Max | Internal Medicine | 2301 Erwin Road Unit 9300, Durham, NC 27710-2621 | 2018-11-19 |
| 1396249256 | Deanna Andrews Griffie | Internal Medicine | 20 Medicine Circle Duke Cancer Center Clinic 3-2, Durham, NC 27710-0001 | 2018-03-23 |
| 1558885004 | Casey Marie Mozingo | Internal Medicine | 20 Duke Medicine Circle Duke Cancer, Durham, NC 27710-0001 | 2017-07-26 |
| 1710430822 | Angel Medical Center, Inc. | Internal Medicine | 834 Depot St, Franklin, NC 28734-0176 | 2016-07-26 |
| 1174942262 | Kristen Leigh Perez | Internal Medicine | 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710-4699 | 2014-04-16 |
| 1851739239 | Jingquan Jia | Internal Medicine | 20 Duke Medicine Drive, Durham, NC 27710 | 2013-06-07 |
| 1215279617 | Jacob Eli Berchuck | Internal Medicine | 226 Chesley Ln, Chapel Hill, NC 27514-1461 | 2013-03-23 |
| 1861759391 | Wayne Dewitt Brenckman Jr. | Internal Medicine | 5632 Denwood Ln, Durham, NC 27705-9252 | 2012-04-22 |
| Find all providers with the same taxonomy | ||||
| City | SPRUCE PINE |
| Zip Code | 28777 |
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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.