BLUE RIDGE PLASTIC SURGERY GROUP, PLLC (NPI# 1609833664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609833664 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE PLASTIC SURGERY GROUP, PLLC |
| Practice Address |
141 Doctors Dr Boone NC 28607-5017 |
| Practice Telephone | 8282680082 |
| Practice Fax Number | 8282680087 |
| Mailing Telephone | 8282680082 |
| Mailing Fax Number | 8282680087 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAMON P ANAGNOS (OFFICE MANAGER) |
| Authorized Official Telephone | 8282680082 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
9600439 | NC | Allopathic & Osteopathic Physicians |
| X | 208600000X | Surgery | 9600439 | NC | Allopathic & Osteopathic Physicians |
| X | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
9600439 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CIGNA | 0262412002 | 01 |
| NC | BCBS | 11088 | 01 |
| NC | STATE HEALTH PLAN | 11088 | 01 |
| NC | 8911088 | 05 | |
| NC | RAILROAD MEDICARE | P00054841 | 01 |
| NC | UNITED HEALTH CARE | 1300361 | 01 |
| NC | MEDCOST | C5607 | 01 |
| Street Address |
141 DOCTORS DR |
| City | BOONE |
| State | NC |
| Zip Code | 28607-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295714327 | Damon Philip Anagnos | Plastic Surgery | 141 Doctors Dr, Boone, NC 28607-5017 | 2006-01-17 |
| 1477519536 | Total Vein Care, Pllc | Surgery | 141 Doctors Dr, Boone, NC 28607-5017 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| Find all providers in zip 28607 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518222132 | Moose Hand Center, Pllc | Surgery | 10502 Park Rd, Suite 170, Charlotte, NC 28210-8479 | 2012-07-10 |
| 1922398080 | Caromont Medical Group Inc | Surgery | 2391 Court Dr, Suite 120a, Gastonia, NC 28054-2196 | 2011-04-11 |
| 1144351693 | Enamul Haque | Surgery | 3025 Springbank Ln, Ste #240, Charlotte, NC 28226-3362 | 2007-03-08 |
| 1598858250 | Carolina Hand Center, Pa | Surgery | 2711 Randolph Rd, Suite 305, Charlotte, NC 28207-2034 | 2006-10-02 |
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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.