Active NPI
Blue Ridge Emergency Physicians, PA
- Emergency Medical Services (Emergency Medicine) Physician
- Seneca, SC
National Provider Identifier
1063457158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- BLUE RIDGE EMERGENCY PHYSICIANS, PA
- Practice address
- 298 Memorial Dr
Seneca, SC 29672-9443 - Phone
- (864) 882-3351
- NPI assigned
- Jun 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick M Johannes, MD
- Title
- President
- Phone
- (864) 882-3351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | NU | Primary |
Addresses
Primary practice location
298 Memorial Dr
Seneca, SC 29672-9443
Mailing address
298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 882-3351
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063457158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 MEMORIAL DR",
"city": "SENECA",
"state": "SC",
"postal_code": "296729443",
"telephone_number": "864-882-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 MEMORIAL DR",
"city": "SENECA",
"state": "SC",
"postal_code": "296729443",
"telephone_number": "864-882-3351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE EMERGENCY PHYSICIANS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOHANNES",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-882-3351",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
- Pamela Gail Binns-Turner, CRNA
- Bio-Medical Applications of South Carolina, Inc. (Oconee Dialysis Clinic)
- Julie Miller Bird, MRC, LPC, LAC
- Kathleen A Birkett, RDN, LD
- Bliss Counseling, LLC
- Blue Ridge Eye Center PA
- Blue Ridge Orthopaedic Assoc PA
- Blue Ridge Pediatrics LLC
- Blue Ridge Pediatrics LLC
- Blue Ridge Pediatrics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.