BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC (NPI# 1932466521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932466521 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC |
| Other Organization Name | MORGANTON FAMILY MEDICINE, PLLC |
| Practice Address |
115 Foothills Dr Morganton NC 28655-5152 |
| Practice Telephone | 8284370666 |
| Practice Fax Number | 8284381773 |
| Mailing Telephone | 8284370666 |
| Mailing Fax Number | 8284381773 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |
| Authorized Official Name | ROBERT G FRITTS (SVP/CFO) |
| Authorized Official Telephone | 8285804220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25258 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Morganton Family Medicine, PLLC | 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 |
| 1699197012 | Blue Ridge Healthcare Medical Group, Inc | Internal Medicine | 720 Malcolm Blvd, Suite 200, Connelly Springs, NC 28612-7920 | 2014-01-21 |
| 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 |
| 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 |
115 FOOTHILLS DR |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-5152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795635 | Kadry R Allaboun | Psychiatry & Neurology | 115 Foothills Dr, Morganton, NC 28655-5152 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1447530597 | Curtis Lee Jansen | Family Medicine | 2201 South Sterling Street, Morganton, NC 28655 | 2011-08-22 |
| 1275725996 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 111 Foothills Dr Ste B, Morganton, NC 28655-5123 | 2007-08-16 |
| 1811071830 | Morganton Family Medicine Pllc | Family Medicine | 115 Foothills Drive, Morganton, NC 28655 | 2006-10-25 |
| 1972683126 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 2209 S. Sterling Street, Suite 300, Morganton, NC 28655 | 2006-10-16 |
| 1710919642 | William Charles Moomaw | Family Medicine | 402 S Sterling St, Carolina Anesthesiology and Pain Management, Morganton, NC 28655-3571 | 2006-07-07 |
| 1891731345 | Diaa E Hussein Md LLC | Family Medicine | 329 Sanford Dr, Suite B, Morganton, NC 28655-2555 | 2006-06-22 |
| 1740226455 | John Dembski | Family Medicine | 2209 S Sterling St Ste 300, Morganton, NC 28655-4092 | 2006-06-21 |
| 1023054160 | Sharon Boone | Family Medicine | 2209 S. Sterling St., Suite 300, Morganton, NC 28655-5155 | 2006-06-20 |
| 1679520795 | Deborah H Waechter | Family Medicine | 103 Medical Heights Dr, Morganton, NC 28655-5197 | 2006-05-27 |
| Find all providers in MORGANTON | ||||
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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.