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BLUE RIDGE FOOT AND ANKLE CLINIC PLC NPI 1730112475


NPI Information

NPI: 1730112475
Provider Name: BLUE RIDGE FOOT AND ANKLE CLINIC PLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
887A RIO EAST CT
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 979-8116
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BLUE RIDGE FOOT AND ANKLE CLINIC PLC is a foot and ankle surgery podiatrist in Charlottesville, VA. BLUE RIDGE FOOT AND ANKLE CLINIC PLC NPI is 1730112475. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

887A RIO EAST CT
CHARLOTTESVILLE, VA
ZIP 22901-004
Phone: (434) 979-8116
Fax: (434) 979-8880

The provider's authorized official is Kevin P Murray .
The authorized official title is Owner and has the following contact phone number (434) 979-8116.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/6/2008.


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
1213ES0103XPodiatristFoot & Ankle Surgery0103000815VIRGINIANo
2213ES0103XPodiatristFoot & Ankle Surgery0103300932VIRGINIAYes

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
15385000001MEDICARE NSCVIRGINIA
2010135770MEDICAIDVIRGINIA
3010151503MEDICAIDVIRGINIA
4010193133MEDICAIDVIRGINIA
55385000002MEDICARE NSCVIRGINIA
6C09309MEDICARE PINVIRGINIA
7010136016MEDICAIDVIRGINIA

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: 4/28/2024

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