NPIMap

Organization Active NPI

Blue Ridge Gynecology PC

  • Gynecology Physician
  • Winchester, VA
National Provider Identifier
1093811168
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
BLUE RIDGE GYNECOLOGY PC
Practice address
130 Peyton St
Winchester, VA 22601-3935
Phone
(540) 678-1433
Fax
(540) 678-1719
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen E. Wade, M.D.NPI 1487612248
Title
Sole Owner
Phone
(540) 678-1433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

130 Peyton St
Winchester, VA 22601-3935

Mailing address

130 Peyton St
Winchester, VA 22601-3935
Phone (540) 678-1433

National Provider Directory

National Provider Directory

Locations

130 Peyton St
Winchester, VA 22601
Phone (540) 678-1433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1093811168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PEYTON ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013935",
            "telephone_number": "540-678-1433",
            "fax_number": "540-678-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PEYTON ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013935",
            "telephone_number": "540-678-1433",
            "fax_number": "540-678-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "540-678-1433",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.