NPIMap

Organization Active NPI

Blue Ridge Women'S Care PA

  • Gynecology Physician
  • Seneca, SC
National Provider Identifier
1104912419
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
12365 Issued in SC
Legal business name
BLUE RIDGE WOMEN'S CARE PA
Practice address
112 Surgical Blvd
Suite B
Seneca, SC 29672-6654
Phone
(864) 985-1799
Fax
(864) 888-4108
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Carol W Shuler, MDNPI 1932153285
Title
President
Phone
(864) 985-1799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 12365 SC Primary

Addresses

Primary practice location

112 Surgical Blvd
Suite B
Seneca, SC 29672-6654

Mailing address

112 Surgical Blvd
Suite B
Seneca, SC 29672
Phone (864) 985-1799

National Provider Directory

National Provider Directory

Locations

112 Surgical Blvd
#B
Seneca, SC 29672
Phone (864) 985-1799

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1104912419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SURGICAL BLVD",
            "address_2": "SUITE B",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "29672",
            "telephone_number": "864-985-1799",
            "fax_number": "864-888-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SURGICAL BLVD",
            "address_2": "SUITE B",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726654",
            "telephone_number": "864-985-1799",
            "fax_number": "864-888-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE WOMEN'S CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "SHULER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-985-1799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "12365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.