BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC (NPI# 1699197012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699197012 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC |
| Other Organization Name | THE CANCER CENTER AT BLUE RIDGE VALDESE |
| Practice Address |
720 Malcolm Blvd Suite 200 Connelly Springs NC 28612-7920 |
| Practice Telephone | 8285807536 |
| Practice Fax Number | 8285807537 |
| Mailing Telephone | 8285807536 |
| Mailing Fax Number | 8285807537 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | ROBERT G FRITTES (SVP/CFO) |
| Authorized Official Telephone | 8285804220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
2009-00695 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Cancer Center at Blue Ridge Valdese | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326450743 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 2293 Sugar Hill Rd, Suite A, Marion, NC 28752-7787 | 2014-05-21 |
| 1831501261 | Blue Ridge Healthcare Medical Group, Inc | Urology | 2209 S Sterling St Ste 530, Morganton, NC 28655-4093 | 2014-05-20 |
| 1427482926 | Blue Ridge Healthcare Medical Group, Inc | Obstetrics & Gynecology | 721 D Malcolm Blvd., Rutherford College, NC 28671 | 2013-09-03 |
| 1568725281 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 2209 S Sterling St, Suite 330, Morganton, NC 28655-4091 | 2012-06-18 |
| 1023376829 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 1208 Hickory Blvd Sw Ste 102, Lenoir, NC 28645-6461 | 2012-04-30 |
| 1932466521 | Blue Ridge Healthcare Medical Group, Inc | Family Medicine | 115 Foothills Dr, Morganton, NC 28655-5152 | 2012-04-19 |
| 1952626384 | Blue Ridge Healthcare Medical Group, Inc | Neuromusculoskeletal Medicine & OMM | 301 Linville Street, Glen Alpine, NC 28628 | 2010-03-29 |
| 1194780411 | Blue Ridge Healthcare Medical Group, Inc | Pediatrics | 1860 Sugar Hill Rd, Marion, NC 28752-5565 | 2006-04-19 |
| Street Address |
720 MALCOLM BLVD SUITE 200 |
| City | CONNELLY SPRINGS |
| State | NC |
| Zip Code | 28612-7920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883868 | Carrie Neal | Pharmacist | 720 Malcolm Blvd, Connelly Springs, NC 28612-7920 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987713 | Alan Fowler Jacks | Surgery | 845 Malcolm Blvd., Connelly Springs, NC 28612 | 2007-12-04 |
| 1316995459 | Shelley A Mcclure | Obstetrics & Gynecology | 110 Hilltop St, Connelly Springs, NC 28612 | 2006-05-04 |
| 1346209293 | Ryan Nelson Richardson | Obstetrics & Gynecology | 110 Hilltop Street, Connelly Springs, NC 28612 | 2006-03-20 |
| 1437526175 | Bethany Craig Hollar | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2015-08-28 |
| 1407109309 | Shana C Proffitt | Nurse Practitioner | 845 Malcolm Blvd, Connelly Springs, NC 28612 | 2012-10-17 |
| 1326328881 | Despina Karavolos | Pharmacist | 210 Us Highway 70, Connelly Springs, NC 28612 | 2011-08-27 |
| 1710052535 | John Clements Betancourt | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2006-11-21 |
| 1962576181 | Gloria Marie Vodan | Advanced Practice Midwife | 110 Hilltop Street, Connelly Springs, NC 28612 | 2006-11-20 |
| 1568811784 | Elizabeth Deal Rowe | Speech-Language Pathologist | 3076 Icard School Road, Connelly Springs, NC 28612-3076 | 2016-06-08 |
| 1336394923 | Crystal Nmn Cha | Pharmacist | 3451 John Williams Rd, Connellys Springs, NC 28612-7338 | 2008-11-24 |
| Find all providers in zip 28612 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409178 | American Oncology Partners, P.a. | Internal Medicine | 11931 S 226 Hwy, Spruce Pine, NC 28777-8910 | 2019-10-25 |
| 1871136440 | American Oncology Partners, P.a. | Internal Medicine | 186 Medical Park Loop Ste 501, Sylva, NC 28779-4110 | 2019-10-25 |
| 1225679004 | American Oncology Partners, P.a. | Internal Medicine | 1200 Ridgefield Blvd Ste 120, Asheville, NC 28806-2279 | 2019-10-03 |
| 1528562154 | Kate Jacobs | Internal Medicine | 2 N Duke South 40 Medicine Circle, Durham, NC 27710-0001 | 2018-03-20 |
| 1518971852 | Charles Kofi Agbemabiese | Internal Medicine | 1213 Lexington Ave Ste B, Thomasville, NC 27360-3416 | 2006-07-29 |
| 1245210707 | Piedmont Hematology-oncology Associates, Pllc | Internal Medicine | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2006-01-20 |
| 1538161245 | John Joseph Strouse | Internal Medicine | 40 Duke Medicine Cir # 2n, Durham, NC 27710-2109 | 2005-08-12 |
| 1003440835 | American Oncology Partners, Pa | Internal Medicine | 300 Ashville Ave Ste 310, Cary, NC 27518-8682 | 2020-03-02 |
| 1356985626 | American Oncology Partners, P.a. | Internal Medicine | 551 Brevard Rd, Asheville, NC 28806-2316 | 2019-10-30 |
| 1871136457 | American Oncology Partners, P.a. | Internal Medicine | 45 Hendersonville Hwy, Pisgah Forest, NC 28768-8895 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
| City | CONNELLY SPRINGS |
| Zip Code | 28612 |
Please comment or provide details below to improve the information on BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
| 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.