BLUE RIDGE UROLOGICAL, PC (NPI# 1528394228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528394228 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE UROLOGICAL, PC |
| Practice Address |
70 Medical Center Cir Ste 208 Fishersville VA 22939-2273 |
| Mailing Address |
Po Box 8310 Roanoke VA 24014-0310 |
| Practice Telephone | 5403453556 |
| Practice Fax Number | 5403422193 |
| Mailing Telephone | 5403453556 |
| Mailing Fax Number | 5403422193 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |
| Authorized Official Name | DR. CARIE D BUCKLEY III (PRESIDENT) |
| Authorized Official Telephone | 5403453556 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0101033256 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
70 MEDICAL CENTER CIR STE 208 |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168642 | Stephen Earl Schmitz | Urology | 70 Medical Center Cir Ste 208, Fishersville, VA 22939-2273 | 2006-01-10 |
| 1922156181 | Mark Robert Anderson | Urology | 70 Medical Center Cir Ste 208, Fishersville, VA 22939-2273 | 2007-01-06 |
| 1851355325 | Sam D. Graham | Urology | 70 Medical Center Cir Ste 208, Fishersville, VA 22939 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168642 | Stephen Earl Schmitz | Urology | 70 Medical Center Cir Ste 208, Fishersville, VA 22939-2273 | 2006-01-10 |
| 1043461064 | Brian Carr Stisser | Urology | 70 Medical Center Cir, Suite 208, Fishersville, VA 22939-2273 | 2008-10-08 |
| 1922156181 | Mark Robert Anderson | Urology | 70 Medical Center Cir Ste 208, Fishersville, VA 22939-2273 | 2007-01-06 |
| 1194746289 | Blue Ridge Urological Assoc., PC | Urology | 70 Medical Center Cir, Suite 208, Fishersville, VA 22939-2273 | 2006-07-22 |
| 1851355325 | Sam D. Graham | Urology | 70 Medical Center Cir Ste 208, Fishersville, VA 22939 | 2006-04-13 |
| 1841288891 | William Rowland Jones IIi | Urology | 70 Medical Center Cir, Suite 208, Fishersville, VA 22939-2273 | 2005-10-12 |
| 1750379707 | Phillips Respess Bryan Jr. | Urology | 70 Medical Center Cir, Suite 208, Fishersville, VA 22939-2273 | 2005-10-12 |
| 1174511349 | Carie Daniel Buckley IIi | Urology | 70 Medical Center Cir, Suite 208, Fishersville, VA 22939-2273 | 2005-10-11 |
| 1053309229 | Charles Buckley Gillock | Urology | 70 Medical Center Cir, Suite 208, Fishersville, VA 22939-2273 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315929 | Potomac Urology Center, P.C. | Urology | 1800 N Beauregard St Ste 300, Alexandria, VA 22311-5879 | 2020-01-15 |
| 1477015170 | Eric J W Choe Md PC | Urology | 2826 Old Lee Hwy Ste 300, Fairfax, VA 22031-4346 | 2019-04-02 |
| 1477055317 | Blue Ridge Medical Management Corporation | Urology | 16000 Johnston Memorial Dr Ste 309, Abingdon, VA 24211-7664 | 2018-03-07 |
| 1588185797 | Urology Health Consulting PC | Urology | 44055 Riverside Pkwy Ste 244, Leesburg, VA 20176-5176 | 2017-06-28 |
| 1659728889 | Loudoun Medical Group PC | Urology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-05-18 |
| 1124435664 | Chesterfield Urology, LLC | Urology | 16901 Blakeway Pl, Moseley, VA 23120-1369 | 2014-07-16 |
| 1679918700 | Amanda P Stiteler | Urology | 120 Kings Way Ste 3200, Williamsburg, VA 23185-2511 | 2013-05-02 |
| 1801137963 | Joel Barry Alperstein | Urology | 4041 University Dr Ste 450, Fairfax, VA 22030-3410 | 2013-03-13 |
| 1417261256 | Nicanor B. Concepcion, M.d. P.C. | Urology | 624 Park Avenue, Norton, VA 24273-0909 | 2010-08-04 |
| 1780902981 | Paulina G Wilson | Urology | 8503 Arlington Blvd Ste 310, Fairfax, VA 22031-4629 | 2010-05-12 |
| Find all providers with the same taxonomy | ||||
| City | FISHERSVILLE |
| Zip Code | 22939 |
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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.