Active NPI
Blue Ridge Heart & Wellness, LLC
- Cardiovascular Disease Physician
- Charlottesville, VA
National Provider Identifier
1104347103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- BLUE RIDGE HEART & WELLNESS, LLC
- Practice address
- 300 Hickman Rd Ste 202
Charlottesville, VA 22911-3554 - Phone
- (434) 296-9596
- Fax
- (434) 296-9196
- NPI assigned
- Jun 29, 2017
- 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
- Mr. Douglas A Stewart
- Title
- Sole Member
- Phone
- (434) 296-9596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
300 Hickman Rd Ste 202
Charlottesville, VA 22911-3554
Mailing address
300 Hickman Rd Ste 202
Charlottesville, VA 22911-3554
Phone (434) 296-9596
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/4607/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1104347103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HICKMAN RD STE 202",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113554",
"telephone_number": "434-296-9596",
"fax_number": "434-296-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HICKMAN RD STE 202",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113554",
"telephone_number": "434-296-9596",
"fax_number": "434-296-9196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE HEART & WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "434-296-9596",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
- Blue Ridge Chiropractic and Massage Therapy Center
- Blue Ridge Endocrinology and Diabetes PLC
- Blue Ridge First Step
- Blue Ridge Foot and Ankle Clinic PLC
- Blue Ridge Hearing, Inc
- Blue Ridge Heart and Vascular
- Blue Ridge Heart and Vascular PLC
- Blue Ridge Ophthalmology PLLC
- Blue Ridge Rehabilitation Associates, Inc
- Blue Sky Anesthesia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.