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BLUE RIDGE ORTHOPAEDIC ASSOC PA NPI 1376569343


NPI Information

NPI: 1376569343
Provider Name: BLUE RIDGE ORTHOPAEDIC ASSOC, PA

Other Name: BLUE RIDGE ORTHOPAEDICS

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 42D0995388

Address:
100 HEALTHY WAY
SUITE 1200
ANDERSON, SC
ZIP 29621
Phone: (864) 482-6000
Get Directions

BLUE RIDGE ORTHOPAEDIC ASSOC, PA is a sports medicine orthopaedic surgery in Anderson, 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 1376569343. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Blue Ridge Orthopaedics.

The provider's business location address is:

100 HEALTHY WAY
SUITE 1200
ANDERSON, SC
ZIP 29621-916
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 CLIA number assigned to this NPI record is 42D0995388 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10134800002MEDICARE NSCSOUTH CAROLINA
2PA4584MEDICAIDSOUTH CAROLINA
32348MEDICARE ID-TYPE UNSPECIFIEDSOUTH 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: 11/14/2023

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