BLUE RIDGE ORTHOPAEDIC ASSOC PA NPI 1033141502

NPI Information

  • NPI: 1033141502
  • Provider Name: BLUE RIDGE ORTHOPAEDIC ASSOC PA
  • Classification: Orthopaedic Surgery - 207XX0005X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Other Name: BLUE RIDGE ORTHOPAEDICS
  • Address: 10630 CLEMSON BLVD
    SUITE 100
    SENECA, SC
    ZIP 29678
  • Phone: (864) 482-6000

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NPI Details

BLUE RIDGE ORTHOPAEDIC ASSOC PA is a sports medicine orthopaedic surgery in Seneca, SC. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. BLUE RIDGE ORTHOPAEDIC ASSOC PA NPI is 1033141502. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Blue Ridge Orthopaedics.

The provider's business location address is:

10630 CLEMSON BLVD
SUITE 100
SENECA, SC
ZIP 29678-546
Phone: (864) 482-6000

The provider's authorized official is Jo Stokes .
The authorized official title is Administrator and has the following contact phone number (864) 482-6165.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0005XOrthopaedic SurgerySports MedicineSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA4584MEDICAIDSOUTH CAROLINA
20134800004MEDICARE NSCSOUTH CAROLINA
32348MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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