BLUE RIDGE UROLOGY PA


Address: 402 Memorial Drive Extension, Greer, SC 29651
Phone: 8648770779

BLUE RIDGE UROLOGY PA (NPI# 1487751699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487751699
Entity Type Organization
Organization Name BLUE RIDGE UROLOGY PA
Practice Address 402 Memorial Drive Extension
Greer
SC 29651
Practice Telephone 8648770779
Practice Fax Number 8648777801
Mailing Telephone 8648770779
Mailing Fax Number 8648777801
Enumeration Date 2006-09-20
Last Update Date 2008-04-20
Authorized Official Name DR. JOHN E WALTON (OWNER)
Authorized Official Telephone 8648770779
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology ========= SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP3677 05
NC MEDICAID 89014MU 01

Office Location

Street Address 402 MEMORIAL DRIVE EXTENSION
City GREER
State SC
Zip Code 29651

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376632703 John Edmond Walton Urology 402 Memorial Drive Extension, Greer, SC 29651 2006-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619499035 Jerry Webb Hudspeth II Pharmacist 221 Marnie Ln, Greer, SC 29651 2017-07-07
1073863395 Sarah Delello Black Pharmacist 590 East Howell Rd, Greer, SC 29651 2012-09-13
1538418645 Ernest Earl Clayton Pharmacist 1325 West Wade Hampton Blvd, Greer, SC 29651 2012-09-05
1235451352 Mountainview Dentistry Dentist 119 Village Drive, Greer, SC 29651 2010-02-16
1548457849 Assisted Living Concepts Inc Assisted Living Facility 10 Companion Court, Greer, SC 29651 2007-10-01
1689866642 Anthony L Mathis Dpm LLC Podiatrist 127 Mills Ave., Greer, SC 29651 2007-08-14
1275740193 Pamela B Dhillon Dentist 3115 A Brushy Creek Road, Greer, SC 29651 2007-05-17
1689715153 Clara Richards Occupational Therapy Assistant 285 Genoble Rd, Greer, SC 29651 2007-02-09
1063566263 Greer Group Practice, LLC Orthopaedic Surgery 501-b Memorial Extension Drive, Greer, SC 29651 2007-01-23
1730253824 Tammy Rollins Mason Social Worker 104 Memorial Drive, Greer, SC 29651 2006-11-20
Find all providers in zip 29651

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780248211 Spartanburg Medical Center Urology 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 2019-04-30
1396967162 The Urology Group Whitlock & Devore Urology 420 The Parkway, Bldg C, Greer, SC 29650 2007-05-02
1568590594 Hammond Urology, Pa Urology 2755 S Highway 14, Suite 2050, Greer, SC 29650-4902 2007-03-01
1376632703 John Edmond Walton Urology 402 Memorial Drive Extension, Greer, SC 29651 2006-10-12
1023092699 Robert Douglas Devore Urology 340 Medical Pkwy, Suite 200, Greer, SC 29650-2441 2005-12-06
1386628956 Norris Walter Whitlock Urology 420 The Pkwy, Building C, Greer, SC 29650-5204 2005-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295393098 Christopher William Ritchie Urology 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 2019-06-05
1609345982 Spartanburg Medical Center Urology 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 2018-11-16
1942775952 Roper Saint Francis Physicians Network Urology 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 2018-10-05
1790131522 Urology Clinic At Carolinas Urology 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 2016-05-11
1912368457 Urology Clinic, Inc. Urology 1285 Wilson Hall Rd, Sumter, SC 29150 2016-03-11
1154700367 Gregory Slachta Urology 407 Broadview Dr, Ridgeland, SC 29936-5157 2015-05-20
1467893404 Robert Strehlow Vi Urology 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 2013-07-06
1326487588 Tracy Jon Tipton Urology 125 Doughty St Ste 300, Charleston, SC 29403 2013-06-21
1790121424 Philip Andre Fontenot Jr. Urology 50 Bear Dr, Greenville, SC 29605 2013-05-21
1679828750 Thomas Alexander Kirkland Jr. Urology 2 Ladson St, Apt. A, Charleston, SC 29401-2757 2012-07-16
Find all providers with the same taxonomy

Competitor

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City GREER
Zip Code 29651

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Dataset Information

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.

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